Individual provider Active NPI

Joseph Prano, D.O.

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1124447347
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101020921 Issued in MI
Practice address
1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone
(269) 381-3963
NPI assigned
Apr 15, 2014
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L206910 MI
Cardiovascular Disease Physician 207RC0000X 5101020921 MI Primary

Addresses

Primary practice location

1722 Shaffer St
Kalamazoo, MI 49048-1633

Mailing address

1722 Shaffer St
Kalamazoo, MI 49048-1633

Other practice location 1

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001402 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193045151 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

420 W High St
Dowagiac, MI 49047-1943

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L206910MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jul 20, 2021 Accepting new patients
Beacon Dowagiac Inc CurrentSince Nov 7, 2023 Accepting new patients
Promed Healthcare CurrentSince Sep 10, 2020 Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jul 20, 2021 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Sep 10, 2020 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

11320 S M 43 Hwy
Ste 2
Delton, MI 49046
Phone (269) 623-2334

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

671 Allegan St
Plainwell, MI 49080
Phone (269) 685-1002

671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7901 Angling Rd
Ste 7
Portage, MI 49024
Phone (269) 381-3963

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: jprano607382@direct.hfhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1124447347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L206910",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101020921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.