PRAKASH JAYANTHI MD
NPI 1912380221
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Phoenix, AZ

Active since July 06, 2015PECOS EnrolledAccepts Medicare Assignment
3131 E CLARENDON AVE STE 102, PHOENIX, AZ 85016(602) 253-9168(602) 251-3126 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2022, Jul 16, 2021 (2 updates tracked since 2021).

About Prakash Jayanthi Md NPPES

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

PRAKASH JAYANTHI MD (NPI 1912380221) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Phoenix, Arizona, licensed in Arizona (77631) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912380221
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NamePRAKASH JAYANTHICredential: MD
Location Address3131 E CLARENDON AVE STE 102Phoenix, AZ 85016-7069
Mailing Address3131 E Clarendon Ave Ste 102Phoenix, AZ 85016-7069 · (602) 253-9168 · Fax (602) 251-3126
Fax(602) 251-3126
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 6, 2015
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1912380221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in AZ · 77631
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 01086267A (IN), 4301108382 (MI)
3131 E CLARENDON AVE STE 102, Phoenix, AZ 85016

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

Prakash Jayanthi Md 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 ID9436449055
PECOS Enrollment IDI20251103001673
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
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 4

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

Physician Assistant
3131 E CLARENDON AVE STE 102
PHOENIX, AZ 85016
Nurse Practitioner (Acute Care)
3131 E CLARENDON AVE STE 102
PHOENIX, AZ 85016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE STE 102
PHOENIX, AZ 85016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE STE 102
PHOENIX, AZ 85016

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 Prakash Jayanthi's NPI number?

The NPI number for Prakash Jayanthi is 1912380221. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Prakash Jayanthi located?

Prakash Jayanthi practices at 3131 E Clarendon Ave Ste 102, Phoenix, AZ 85016. The listed phone number is (602) 253-9168.

What is Prakash Jayanthi's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Prakash Jayanthi enrolled in Medicare?

Yes. Prakash Jayanthi 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.

When was this NPI record last updated?

The NPPES record for Prakash Jayanthi was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.