PRESCOTT INTERVENTIONAL RADIOLOGY LLC
NPI 1457314825
Radiology - Vascular & Interventional Radiology in Prescott, AZ

Active since April 07, 2006
980 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 443-0077(928) 443-0019 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Prescott Interventional Radiology Llc NPPES

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

PRESCOTT INTERVENTIONAL RADIOLOGY LLC (NPI 1457314825) is a healthcare organization registered as a vascular & interventional radiology in Prescott, Arizona and active in the NPI registry since April 2006. The organization lists Mohamed A Kirdani, President Owner, as its authorized official.

NPPES Registry Identity

NPI1457314825
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NamePRESCOTT INTERVENTIONAL RADIOLOGY LLC
Location Address980 WILLOW CREEK RDPrescott, AZ 86301-1611
Mailing AddressPo Box 27340Phoenix, AZ 85061-7340 · (602) 943-9200 · Fax (602) 216-3000
Fax(928) 443-0019
Organization SubpartNo
Authorized OfficialMohamed A KirdaniPresident Owner · (928) 443-0077
Enumeration DateApril 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1457314825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
980 WILLOW CREEK RD, Prescott, AZ 86301

Other Identifiers 1

Other1Z7128Health Net

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist
980 WILLOW CREEK RD, SUITE 103
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
980 WILLOW CREEK RD, SUITE 201
PRESCOTT, AZ 86301
Radiology (Vascular & Interventional Radiology)
980 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
980 WILLOW CREEK RD, SUITE 201
PRESCOTT, AZ 86301

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 Prescott Interventional Radiology LLC's NPI number?

The NPI number for Prescott Interventional Radiology LLC is 1457314825. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Prescott Interventional Radiology LLC located?

Prescott Interventional Radiology LLC is located at 980 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 443-0077.

What is Prescott Interventional Radiology LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Prescott Interventional Radiology LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.