DR. PHILIP MAHARAJ-PRASAD M.D.
NPI 1295046621
Family Medicine - Adult Medicine in Tucson, AZ

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 724-9000 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2018, May 11, 2016 (2 updates tracked since 2016).

About Dr. Philip Maharaj-prasad M.d. NPPES

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

DR. PHILIP MAHARAJ-PRASAD M.D. (NPI 1295046621) is an individual adult medicine provider in Tucson, Arizona, licensed in Arizona (48027) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1295046621
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. PHILIP MAHARAJ-PRASADCredential: M.D.
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address6200 North Lacholla BlvdTucson, AZ 85741 · (520) 724-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2010
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
NPI 1295046621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in AZ · 48027
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 9652815-1205 (UT)
6200 N LA CHOLLA BLVD, Tucson, AZ 85741

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Maharaj-prasad M.d. 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 ID1759510712
PECOS Enrollment IDI20140214001563
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
924 services120 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
640 services240 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
192 services187 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
138 services130 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
92 services28 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
78 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers43 claims44 services$15.40 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers42 claims43 services$77.55 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$20.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741

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 Philip Maharaj-prasad's NPI number?

The NPI number for Philip Maharaj-prasad is 1295046621. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Philip Maharaj-prasad located?

Philip Maharaj-prasad practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 724-9000.

What is Philip Maharaj-prasad's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Philip Maharaj-prasad enrolled in Medicare?

Yes. Philip Maharaj-prasad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Maharaj-prasad accept?

Health plans from Blue Cross Blue Shield of Arizona list Philip Maharaj-prasad 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 Philip Maharaj-prasad was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.