Prodigy Dialysis

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

MD042825E Issued in PA

Legal business name

PRODIGY DIALYSIS

Practice address

105 Metzler St
Johnstown, PA 15904-3124

Phone

(814) 539-0798

Fax

(814) 536-4751

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Frem, MD

Title

Ceo

Phone

(814) 244-9873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prodigy Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Meyersdale, PA
  • NPI 1417191404

  6002812716

  Same PAC ID

Listed as

Prodigy Dialysis RichlandCCN 392738

Overall star rating

2.0 of 5

Ownership

Profit

Certified

May 18, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

11

Locations

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• George J Frem, MD

  • Nephrology Physician
  • Johnstown, PA
  • NPI 1053315549

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1043393440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 METZLER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043124",
            "telephone_number": "814-262-7560",
            "fax_number": "814-536-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 METZLER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043124",
            "telephone_number": "814-539-0798",
            "fax_number": "814-536-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "FREM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-244-9873",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": "MD042825E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pribozie
• Jamie E Price, CRNP, FNP-C
• Prime Care Providers LLC
• Dustin Ray Pringle, BOCO
• Prodigy Dialysis
• Prodigy Dialysis LLC
• Professional Family Care Services, Inc.
• Martin Theodore Prokop, PHYSICAL THERAPIST
• George Pueblitz, MD
• Stephanie Punchak, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.