DR. AMIR PRUSHANI M.D. M.A.
NPI 1275762858
Internal Medicine - Gastroenterology in Philadelphia, PA

Q: What is Amir Prushani's NPI number?

The NPI number for Amir Prushani is 1275762858. It was assigned to this individual provider in the NPPES registry on July 5, 2009.

Q: What is Amir Prushani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Amir Prushani was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 July 05, 2009PECOS Enrolled

230 N BROAD ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Amir Prushani M.d. M.a. NPPES

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

DR. AMIR PRUSHANI M.D. M.A. (NPI 1275762858) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in California (A135091) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corte Madera, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1275762858

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. AMIR PRUSHANICredential: M.D. M.A.

Location Address230 N BROAD STPhiladelphia, PA 19102-1121

Mailing Address200 Tamal Plz Ste 200Corte Madera, CA 94925-1196 · (415) 925-6900 · Fax (415) 925-6919

Phone(215) 762-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 5, 2009

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1275762858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A135091

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT195869 (PA)

230 N BROAD ST, Philadelphia, PA 19102

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Secondary Practice Location 1

Location 1200 Tamal Plz Ste 200Corte Madera, CA 94925-1196 · Phone (415) 925-6900 · Fax (415) 925-6919

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amir Prushani M.d. M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981837473

PECOS Enrollment IDI20151204002241

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 Reassignments

Medicare enrollment records show Amir Prushani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anmed Health

542 mi

Family Medicine

2110 HIGHWAY 86 STE C
Piedmont, SC 29673

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1588685333 (South Carolina)
381 clinicians in this Medicare group

NPI 1255137832 (864) 512-7018

Enloe Medical Center

2,451 mi

Gastroenterology

111 RALEY BLVD, SUITE 100
Chico, CA 95928

Reassigned Medicare billing, California enrollment
42 clinicians in this Medicare group

NPI 1801226162 (530) 894-8800

Permanente Medical Group Inc

2,460 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Regents Univ Of California Ucsf

2,525 mi

Internal Medicine

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
339 clinicians in this Medicare group

NPI 1124439807 (415) 476-1000

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

112 services107 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

106 services105 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

100 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

94 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

86 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

40 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services18 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

17 services16 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services13 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

RIAN JOHN PILLITTERI M.D.

Emergency Medicine

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7963

BRITNY ROGALA PHARMD

Pharmacist

230 N BROAD ST, B40
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-1101

MELISSA BRODSKY MD

Anesthesiology

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7922

COLLEEN PATRICIA NOFI DO

Surgery

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7000

ANDREW S WECHSLER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7802

DR. JOHN RODNEY CLARKE M.D.

Surgery

230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-2010

LINDSEY CARLISLE WILLIAMS D.O.

Radiology (Diagnostic Radiology)

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7000

ELIZABETH MARY VARUGHESE MD

Internal Medicine

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-6900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amir Prushani's NPI number?

The NPI number for Amir Prushani is 1275762858. It was assigned to this individual provider in the NPPES registry on July 5, 2009.

Where is Amir Prushani located?

Amir Prushani practices at 230 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Amir Prushani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Amir Prushani enrolled in Medicare?

Yes. Amir Prushani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amir Prushani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amir Prushani reassigns Medicare benefits to 4 organizations: Anmed Health (Piedmont, SC), Enloe Medical Center (Chico, CA), Permanente Medical Group Inc (Stockton, CA) and Regents Univ Of California Ucsf (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amir Prushani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amir Prushani accept?

Health plans from UnitedHealthcare list Amir Prushani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amir Prushani was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.