YAVAPAI REGIONAL MEDICAL CENTER GENERAL SURGERY
NPI 1649464454
Surgery in Prescott, AZ

Q: What is Yavapai Community Hospital Association's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 05, 2007

804 AINSWORTH DRIVE STE. 103, PRESCOTT, AZ 86301(928) 445-2700(928) 771-5785 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

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About Yavapai Regional Medical Center General Surgery NPPES

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

YAVAPAI REGIONAL MEDICAL CENTER GENERAL SURGERY (NPI 1649464454) is a healthcare organization registered as a surgery in Prescott, Arizona and active in the NPI registry since September 2007. The organization lists Lee Livin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1649464454

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameYAVAPAI COMMUNITY HOSPITAL ASSOCIATION

Location Address804 AINSWORTH DRIVE STE. 103Prescott, AZ 86301-1624

Mailing Address1003 Willow Creek RoadPrescott, AZ 86301-1641 · (928) 771-5695 · Fax (928) 458-2015

Phone(928) 445-2700

Fax(928) 771-5785

Organization SubpartYes

Authorized OfficialLee LivinChief Financial Officer · (928) 771-5691

Enumeration DateSeptember 5, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1649464454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in AZ · H0115✔ Licensed in AZ · H3964

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

804 AINSWORTH DRIVE STE. 103, Prescott, AZ 86301

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Other Names 1

Doing Business AsYavapai Regional Medical Center General Surgery

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yavapai Regional Medical Center General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 83 clinicians reassign Medicare billing to Yavapai Regional Medical Center General Surgery, which bills Medicare for the services they deliver. Of these, 46 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Cardiovascular Disease (Cardiology)13

Diagnostic Radiology11

Hospitalist9

Internal Medicine6

Orthopedic Surgery6

General Surgery5

Neurology5

Urology5

12 other specialties23

Nearest to this location (20)

See all 83

Mohammad-Ali El-Harakeh, MD

Internal Medicine

NPI 1184829061

1055 RUTH ST STE 3
Prescott, AZ 86301

(928) 362-8231

✔ PECOS✔ Accepts Medicare0.2 mi

Kamala Boast, D.O.

Hospitalist

NPI 1639219520

1003 WILLOW CREEK ROAD
Prescott, AZ 86301

(928) 771-5487

✔ PECOS✔ Accepts Medicare0.3 mi

Alejandro Chapa-Rodriguez, MD

Hospitalist

NPI 1265677132

1003 WILLOW CREEK ROAD
Prescott, AZ 86304

(928) 771-5487

✔ PECOS✔ Accepts Medicare0.3 mi

William Gallimore, D.O.

Internal Medicine

NPI 1376721316

1003 WILLOW CREEK ROAD
Prescott, AZ 86301

(928) 771-5487

✔ PECOS0.3 mi

Lisa Graham, M.D.

Critical Care (Intensivists)

NPI 1386955623

1003 WILLOW CREEK RD
Prescott, AZ 86301

(928) 773-0003

✔ PECOS✔ Accepts Medicare0.3 mi

Douglas Mapel, MD

Critical Care (Intensivists)

NPI 1497730451

1003 WILLOW CREEK RD
Prescott, AZ 86301

(928) 773-0003

✔ PECOS✔ Accepts Medicare0.3 mi

David Merrill, D.O.

Internal Medicine

NPI 1306266796

1003 WILLOW CREEK RD
Prescott, AZ 86301

(928) 445-2700

✔ PECOS✔ Accepts Medicare0.3 mi

Ben Paxton, M.D.

Interventional Radiology

NPI 1548469372

1000 AINSWORTH # 115
Prescott, AZ 86305

(928) 771-7577

✔ PECOS✔ Accepts Medicare0.3 mi

David Amstutz, MD

Diagnostic Radiology

NPI 1528054517

1000 AINSWORTH DR SUITE 115
Prescott, AZ 86305

(928) 778-1971

✔ PECOS✔ Accepts Medicare0.3 mi

Michael D'angelo, MD

Diagnostic Radiology

NPI 1669468526

1000 AINSWORTH DR SUITE 115
Prescott, AZ 86305

(928) 778-1971

✔ PECOS✔ Accepts Medicare0.3 mi

Edward Ha, MD

Cardiovascular Disease (Cardiology)

NPI 1588762504

1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301

(928) 445-6025

✔ PECOS0.3 mi

Ronald Jones, M.D.

Cardiac Electrophysiology

NPI 1255541876

1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301

(928) 445-6025

✔ PECOS✔ Accepts Medicare0.3 mi

Phung Le, D.O.

General Surgery

NPI 1932424066

1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301

(928) 458-2850

✔ PECOS✔ Accepts Medicare0.3 mi

John Mackenzie, DO

Neurology

NPI 1518078807

1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301

(928) 778-0827

✔ PECOS✔ Accepts Medicare0.3 mi

Paul Malczak, DO

Neurology

NPI 1003274655

1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301

(928) 778-0827

✔ PECOS✔ Accepts Medicare0.3 mi

Shane Monnett, D.O.

General Surgery

NPI 1760829378

1001 WILLOW CREEK RD STE 1200
Prescott, AZ 86301

(928) 458-2995

✔ PECOS✔ Accepts Medicare0.3 mi

Soundos Moualla, MD

Interventional Cardiology

NPI 1396853461

1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301

(928) 445-6025

✔ PECOS✔ Accepts Medicare0.3 mi

Paul Nguyen, MD

Urology

NPI 1699859769

1001 WILLOW CREEK RD STE 3300
Prescott, AZ 86301

(928) 408-4000

✔ PECOS✔ Accepts Medicare0.3 mi

George Rizk, M.D.

Cardiovascular Disease (Cardiology)

NPI 1730145459

1001 WILLOW CREEK RD STE 2200
Prescott, AZ 86301

(928) 445-6025

✔ PECOS✔ Accepts Medicare0.3 mi

John Wheeler, M.D.

Orthopedic Surgery

NPI 1073700928

1001 WILLOW CREEK RD STE 1300
Prescott, AZ 86301

(928) 708-4545

✔ PECOS✔ Accepts Medicare0.3 mi

See all 83 clinicians

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

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 Yavapai Community Hospital Association's NPI number?

The NPI number for Yavapai Community Hospital Association is 1649464454. It was assigned to this organization in the NPPES registry on September 5, 2007. The provider is doing business as Yavapai Regional Medical Center General Surgery.

Where is Yavapai Community Hospital Association located?

Yavapai Community Hospital Association is located at 804 Ainsworth Drive Ste. 103, Prescott, AZ 86301. The listed phone number is (928) 445-2700.

What is Yavapai Community Hospital Association's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Yavapai Community Hospital Association enrolled in Medicare?

Yes. Yavapai Community Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yavapai Community Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 20 Medicare specialties reassign their Medicare billing to Yavapai Community Hospital Association. A 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 the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (13), Diagnostic Radiology (11) and Hospitalist (9). Of these, 46 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Yavapai Community Hospital Association was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.