MANOGJNA RUTH PRASAD MD
NPI 1255934014
Internal Medicine - Infectious Disease in Flagstaff, AZ

Q: What is Manogjna Prasad's NPI number?

The NPI number for Manogjna Prasad is 1255934014. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Q: What is Manogjna Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Manogjna Prasad was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2020PECOS EnrolledAccepts Medicare Assignment

1215 N BEAVER ST STE 203, FLAGSTAFF, AZ 86001(928) 773-2200 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Nov 16, 2020 (2 updates tracked since 2020).

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About Manogjna Ruth Prasad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANOGJNA RUTH PRASAD MD (NPI 1255934014) is an individual infectious disease provider in Flagstaff, Arizona, licensed in Arizona (75397) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255934014

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameMANOGJNA RUTH PRASADCredential: MD

Location Address1215 N BEAVER ST STE 203Flagstaff, AZ 86001-3120

Mailing Address4150 V StSacramento, CA 95817-1460 · (916) 734-3730

Phone(928) 773-2200

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 16, 2020

Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration

NPPES CertifiedOctober 9, 2025

✔ NPI 1255934014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in AZ · 75397

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License A189776 (CA)

1215 N BEAVER ST STE 203, Flagstaff, AZ 86001

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Secondary Practice Location 1

Location 14150 V StSacramento, CA 95817-1460 · Phone (916) 734-3730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manogjna Ruth Prasad Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668960550

PECOS Enrollment IDI20251022003792

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Manogjna Prasad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Arizona Healthcare Corporation

Same address

Family Medicine

1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
552 clinicians in this Medicare group

NPI 1669914552 (928) 773-2546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN ARIZONA HEALTHCARE CORPORATION

Internal Medicine