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PRABHUNANDAN F HIREMATH M.D.
NPI 1831155001
Internal Medicine in Phoenix, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
26.01/100
CMS Quality Rating
4530 E MUIRWOOD DR, 105, PHOENIX, AZ 85048(480) 961-2303(480) 961-2306 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prabhunandan F Hiremath M.d. NPPES

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

PRABHUNANDAN F HIREMATH M.D. (NPI 1831155001) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (29389) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1831155001
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRABHUNANDAN F HIREMATHCredential: M.D.
Location Address4530 E MUIRWOOD DR, 105Phoenix, AZ 85048-7639
Mailing Address4530 E Muirwood Dr, 105Phoenix, AZ 85048-7639 · (480) 961-2303 · Fax (480) 961-2306
Phone(480) 961-2303
Fax(480) 961-2306
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 21, 2008
✔ NPI 1831155001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 29389
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4530 E MUIRWOOD DR, Phoenix, AZ 85048
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Other Identifiers 3

Medicare PINZ112109AZ
Medicare PINP00354163AZ
Medicare UPINH58966AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Prabhunandan F Hiremath 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 ID8921069642
PECOS Enrollment IDI20041025001127
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 5

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 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.
701 services289 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.
254 services251 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.
134 services133 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.
69 services45 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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

26.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost15.05

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
3 suppliers17 claims17 services$14.38 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
3 suppliers29 claims29 services$69.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.21 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.

JESSICA RYDBERG M.ED, BCBA
Behavior Analyst
4530 E MUIRWOOD DR, SUITE 103
PHOENIX, AZ 85048
Maricopa County (480) 610-6981
DR. MICHAEL J PANG M.D.
Internal Medicine
4530 E MUIRWOOD DR
PHOENIX, AZ 85048
Maricopa County (480) 961-2303
KAREN PETERSON M.A. BCBA
Behavior Analyst
4530 E MUIRWOOD DR, STE. 103
PHOENIX, AZ 85048
Maricopa County (480) 610-6981
ALEXIS A WOODS MD
Internal Medicine
4530 E MUIRWOOD DR, 105
PHOENIX, AZ 85048
Maricopa County (480) 961-2303
SARA TACKETT M.A., BCBA, LBA
Behavior Analyst
4530 E MUIRWOOD DR
PHOENIX, AZ 85048
Maricopa County (480) 610-6981
DR. PADMA R MAHANT M.D.
Psychiatry & Neurology (Neurology)
4530 E MUIRWOOD DR, SUITE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
MS. LEIGH ADELL GRESSLEY MSN/FNP-BC
Nurse Practitioner (Family)
4530 E MUIRWOOD DR, STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
NORBERTO PEREZ D.O.
Internal Medicine
4530 E MUIRWOOD DR, SUITE 105
PHOENIX, AZ 85048
Maricopa County (480) 961-2303

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 Prabhunandan Hiremath's NPI number?

The NPI number for Prabhunandan Hiremath is 1831155001. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Prabhunandan Hiremath located?

Prabhunandan Hiremath practices at 4530 E Muirwood Dr 105, Phoenix, AZ 85048. The listed phone number is (480) 961-2303.

What is Prabhunandan Hiremath's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prabhunandan Hiremath enrolled in Medicare?

Yes. Prabhunandan Hiremath 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 Prabhunandan Hiremath accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Prabhunandan Hiremath 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 Prabhunandan Hiremath was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.