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SOUTHWEST EAR, NOSE & THROAT, PLLC
NPI 1861020703
Otolaryngology in Lake Havasu City, AZ

Active since March 27, 2020
1760 MCCULLOCH BLVD N STE 102, LAKE HAVASU CITY, AZ 86403(928) 453-0303(928) 453-0338 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southwest Ear, Nose & Throat, Pllc NPPES

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

SOUTHWEST EAR, NOSE & THROAT, PLLC (NPI 1861020703) is a healthcare organization registered as an otolaryngology in Lake Havasu City, Arizona and active in the NPI registry since March 2020. The organization lists Michael Prater, Owner / Member Manager, as its authorized official.

NPPES Registry Identity

NPI1861020703
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHWEST EAR, NOSE & THROAT, PLLC
Location Address1760 MCCULLOCH BLVD N STE 102Lake Havasu City, AZ 86403-6559
Mailing Address1760 Mcculloch Blvd N Ste 102Lake Havasu City, AZ 86403-6559 · (928) 453-0303 · Fax (928) 453-0338
Phone(928) 453-0303
Fax(928) 453-0338
Organization SubpartNo
Authorized OfficialMichael PraterOwner / Member Manager · (928) 453-0303
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
✔ NPI 1861020703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1760 MCCULLOCH BLVD N STE 102, Lake Havasu City, AZ 86403
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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)

Southwest Ear, Nose & Throat, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Ear, Nose & Throat, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Prater, M.D.
Otolaryngology
NPI 1598723173
1760 MCCULLOCH BLVD N STE. 100
Lake Havasu City, AZ 86403
(928) 854-5368
✔ PECOS✔ Accepts MedicareSame address

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 Southwest Ear, Nose & Throat, PLLC's NPI number?

The NPI number for Southwest Ear, Nose & Throat, PLLC is 1861020703. It was assigned to this organization in the NPPES registry on March 27, 2020.

Where is Southwest Ear, Nose & Throat, PLLC located?

Southwest Ear, Nose & Throat, PLLC is located at 1760 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-0303.

What is Southwest Ear, Nose & Throat, PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Southwest Ear, Nose & Throat, PLLC enrolled in Medicare?

Yes. Southwest Ear, Nose & Throat, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Ear, Nose & Throat, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Southwest Ear, Nose & Throat, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Ear, Nose & Throat, PLLC was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.