PRISM BARIATRICS LLC
NPI 1902566433
Surgery in Mesa, AZ

Active since December 24, 2021
4860 E BASELINE RD STE 105, MESA, AZ 85206(480) 485-8585 Get Directions Write a Review

NPPES record last updated: December 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prism Bariatrics Llc NPPES

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

PRISM BARIATRICS LLC (NPI 1902566433) is a healthcare organization registered as a surgery in Mesa, Arizona and active in the NPI registry since December 2021. The organization lists John J Debarros, Owner, as its authorized official.

NPPES Registry Identity

NPI1902566433
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePRISM BARIATRICS LLC
Location Address4860 E BASELINE RD STE 105Mesa, AZ 85206-4670
Mailing Address4860 E Baseline Rd Ste 105Mesa, AZ 85206-4670 · (480) 485-8585
Organization SubpartNo
Authorized OfficialJohn J DebarrosOwner · (480) 292-5145
Enumeration DateDecember 24, 2021
NPPES CertifiedDecember 24, 2021
✔ NPI 1902566433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
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.
4860 E BASELINE RD STE 105, Mesa, AZ 85206

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prism Bariatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Prism Bariatrics LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

General Surgery
NPI 1194767228
4860 E BASELINE RD STE 105
Mesa, AZ 85206
(480) 485-8585
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1326685983
4860 E BASELINE RD STE 105
Mesa, AZ 85206
(480) 485-8585
Same address
General Surgery
NPI 1255513206
4860 E BASELINE RD STE 105
Mesa, AZ 85206
(480) 485-8585
✔ PECOSSame address
General Surgery
NPI 1114960812
1920 N HIGLEY RD SUITE 308
Gilbert, AZ 85234
(480) 543-6600
✔ PECOS✔ Accepts Medicare0.5 mi
Registered Dietitian or Nutrition Professional
NPI 1518401884
6625 S RURAL RD STE 111
Tempe, AZ 85283
(480) 253-9547
12 mi
General Surgery
NPI 1881841963
1855 E SOUTHERN AVE
Tempe, AZ 85282
(480) 829-6100
✔ PECOS✔ Accepts Medicare13 mi

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 Prism Bariatrics LLC's NPI number?

The NPI number for Prism Bariatrics LLC is 1902566433. It was assigned to this organization in the NPPES registry on December 24, 2021.

Where is Prism Bariatrics LLC located?

Prism Bariatrics LLC is located at 4860 E Baseline Rd Ste 105, Mesa, AZ 85206. The listed phone number is (480) 485-8585.

What is Prism Bariatrics LLC's specialty?

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

Is Prism Bariatrics LLC enrolled in Medicare?

Yes. Prism Bariatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prism Bariatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Prism Bariatrics LLC. 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 General Surgery (4) and Registered Dietitian or Nutrition Professional (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prism Bariatrics LLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Prism Bariatrics LLC 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 Prism Bariatrics LLC was last updated on December 24, 2021. 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.