Luyi De Prada (NPI# 1639480452, PAC ID# 8224343637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1639480452 |
| PAC ID by PECOS | 8224343637 |
| Professional Enrollment ID | I20150813012078 |
| Full Name | Luyi De Prada |
| Organization Legal Name | SOUTHWEST KIDNEY INSTITUTE, PLC |
| Address |
629 N Hwy 90 Byp Suite G Sierra Vista AZ 85635-2257 |
| Phone Number | 5206232642 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8224930987 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030061 | BANNER BOSWELL MEDICAL CENTER |
| 030094 | ARROWHEAD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 | 5206232642 | SOUTHWEST KIDNEY INSTITUTE, PLC |
| 6060 N Fountain Plaza Dr, Suite 170, Tucson, AZ 85704-7875 | 5206232642 | SOUTHWEST KIDNEY INSTITUTE, PLC |
| Organization Legal Name | SOUTHWEST KIDNEY INSTITUTE, PLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nishkarsh Saxena | Nephrology | Southwest Kidney Institute, Plc | 2538 E University Dr, Suite 110, Phoenix, AZ 85034-6945 |
| Wayne Weissinger | Nurse Practitioner | Southwest Kidney Institute, Plc | 7362 W Thunderbird Rd, Peoria, AZ 85381-5028 |
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Jennifer L Ireland | Nurse Practitioner | Southwest Kidney Institute, Plc | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1583 |
| Paul Walshaw | Nephrology | Southwest Kidney Institute, Plc | 395 N Silverbell Rd, Suite 209, Tucson, AZ 85745-2719 |
| Paul Thomas Lui | Nephrology | Southwest Kidney Institute, Plc | 9305 W Thomas Rd, Suite 255, Phoenix, AZ 85037-3364 |
| Shailesh Patel | Nephrology | Southwest Kidney Institute, Plc | 9305 W Thomas Rd, Suite 255, Phoenix, AZ 85037-3364 |
| Janet R San George | Nurse Practitioner | Southwest Kidney Institute, Plc | 9305 W Thomas Rd, Suite 255, Phoenix, AZ 85037-3364 |
| Anup Rai | Nephrology | Southwest Kidney Institute, Plc | 7362 W Thunderbird Rd, Peoria, AZ 85381-5028 |
| Mohit Agarwal | Nephrology | Southwest Kidney Institute, Plc | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Street Address |
629 N HWY 90 BYP SUITE G |
| City | SIERRA VISTA |
| State | AZ |
| Zip | 85635-2257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Mohammed A J Sikder | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Minesh Rajpal | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Shani C Kotadia | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Roseanne Perdigon Prieto | Nurse Practitioner | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly B Smith | Chiropractic | 2123 S Hwy 92, Sierra Vista, AZ 85635 | |
| Lincoln J Daynes | Optometry | 400 W Fry Blvd, Suite 9, Sierra Vista, AZ 85635-1760 | |
| Matthew Robert Genz | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Louise Nosanchuck | Family Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Everett R Castle | Emergency Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Jason David Steinberg | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| James Garet Goodman | Chiropractic | 222 E Fry Blvd, Sierra Vista, AZ 85635-1817 | |
| Purba Biswas | Internal Medicine | 629 N Hwy 90, Sierra Vista, AZ 85635-2257 | |
| Vincent D Van Houten | Optometry | Nationwide Optometry P.C. | 440 N Hwy 90 Byp B3, Nw Vision Ctr, Sierra Vista, AZ 85635-2295 |
| Mary Taylor Davis | Clinical Psychologist | 5041 Galileo Dr, Sierra Vista, AZ 85635-2403 | |
| Find all physicians in zip 85635 | |||
| City | SIERRA VISTA |
| Zip Code | 85635 |
| Specialty | NEPHROLOGY |
| City + Specialty | SIERRA VISTA + NEPHROLOGY |
Please comment or provide details below to improve the information on Luyi De Prada.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.