Dr Prathab Devaraj, MD - Medicare Gastroenterology in Gilbert, AZ

Dr Prathab Devaraj, MD is a medicare enrolled "Internal Medicine" physician in Gilbert, Arizona. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Banner Cancer Center Specialists Llc, Banner Physician Specialists Arizona Llc and his current practice location is 2946 E Banner Gateway Dr, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 256-6444.

Dr Prathab Devaraj is licensed to practice in Arizona (license number 46888) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073778064.

Contact Information

Dr Prathab Devaraj, MD
2946 E Banner Gateway Dr,
Gilbert, AZ 85234-2165
(480) 256-6444
(480) 256-3682



Physician's Profile

Full NameDr Prathab Devaraj
GenderMale
SpecialityGastroenterology
Experience20 Years
Location2946 E Banner Gateway Dr, Gilbert, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prathab Devaraj graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1073778064
  • Provider Enumeration Date: 07/19/2008
  • Last Update Date: 10/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446421929
  • Enrollment ID: I20130124000528

Medical Identifiers

Medical identifiers for Dr Prathab Devaraj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073778064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD443519 (Pennsylvania)Secondary
207RG0100XInternal Medicine - Gastroenterology 46888 (Arizona)Secondary
207R00000XInternal Medicine 46888 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Gateway Medical CenterGilbert, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Cancer Center Specialists Llc6103097779266
Banner Physician Specialists Arizona Llc6204002272258

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Prathab Devaraj allows following entities to bill medicare on his behalf.
Entity NameBanner Cancer Center Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224

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Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Prathab Devaraj is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Prathab Devaraj, MD
2946 E Banner Gateway Dr,
Gilbert, AZ 85234-2165

Ph: (480) 256-6444
Dr Prathab Devaraj, MD
2946 E Banner Gateway Dr,
Gilbert, AZ 85234-2165

Ph: (480) 256-6444

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› Verified 8 days ago


Internal Medicine Doctors in Gilbert, AZ

Sandhyaben P Patel, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234
Phone: 480-543-2134    Fax: 480-512-6089
Dr. Shivakumar Vignesh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr., Suite 400, Gilbert, AZ 85234
Phone: 480-256-3332    Fax: 813-449-8028
Dr. Noreen Catherine Ruane, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3555 S Val Vista Dr, Gilbert, AZ 85297
Phone: 602-933-0777    Fax: 602-933-0755
Dr. Ala Eddin Samir Sagar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2940 E Banner Gateway Drive, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-3682
Theresa Ong Liu Dumlao, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-4683
Dr. Zachary Phillip Yeung, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234
Phone: 480-245-6444    Fax: 480-256-4623
Richard D Sue, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234
Phone: 480-256-6444    Fax: 480-256-3682

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