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PRASHANT K NARAIN M.D.
NPI 1679511646
Surgery in Goodyear, AZ

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
13555 W. MCDOWELL RD., SUITE 204, GOODYEAR, AZ 85395(623) 247-0300(623) 247-9268 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, May 13, 2016 (2 updates tracked since 2016).

About Prashant K Narain M.d. NPPES

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

PRASHANT K NARAIN M.D. (NPI 1679511646) is an individual surgery provider in Goodyear, Arizona, licensed in Arizona (29137) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1679511646
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePRASHANT K NARAINCredential: M.D.
Location Address13555 W. MCDOWELL RD., SUITE 204Goodyear, AZ 85395-2626
Mailing Address13555 W. Mcdowell Rd., Suite 204Goodyear, AZ 85395-2626 · (623) 247-0300 · Fax (623) 247-9268
Phone(623) 247-0300
Fax(623) 247-9268
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1679511646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 29137
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.
13555 W. MCDOWELL RD., Goodyear, AZ 85395
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Other Identifiers 1

Medicaid597271AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Prashant K Narain 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 ID749284255
PECOS Enrollment IDI20060914000010
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 4

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.

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.
40 services40 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.
38 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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

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

RAMA K MUDDARAJ M.D.
Surgery
13555 W. MCDOWELL RD., SUITE 204
GOODYEAR, AZ 85395
Maricopa County (623) 247-0300

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 Prashant Narain's NPI number?

The NPI number for Prashant Narain is 1679511646. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Prashant Narain located?

Prashant Narain practices at 13555 W. Mcdowell Rd. Suite 204, Goodyear, AZ 85395. The listed phone number is (623) 247-0300.

What is Prashant Narain's specialty?

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

Is Prashant Narain enrolled in Medicare?

Yes. Prashant Narain 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 Prashant Narain accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Prashant Narain 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 Prashant Narain was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.