Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prakash Jayanthi, MD

Individual provider Surgery Physician · NPI 1912380221

Prakash Jayanthi, MD is a Thoracic Surgery in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Phoenix Cardiac Surgery PC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona, Indiana and Michigan.

Years since qualifying
11
Licensed in
AZ, IN, MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3131 E Clarendon Ave Ste 102
Phoenix, AZ 85016-7069
Phone: (602) 253-9168
Fax: (602) 251-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 77631 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 01086267A (IN)
Surgery Physician Taxonomy 208600000X · Licence 4301108382 (MI)

Record details

NPI number1912380221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address3131 E Clarendon Ave Ste 102, Phoenix, AZ 85016-7069

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Phoenix Cardiac Surgery Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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