Individual provider Active NPI

Linda K Prokai, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1154540847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000162A Issued in IN
Practice address
13450 N Meridian St
Suite 244
Carmel, IN 46032-1546
Phone
(317) 846-4484
Fax
(317) 571-2344
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000162A IN Primary

Addresses

Primary practice location

13450 N Meridian St
Suite 244
Carmel, IN 46032-1546

Mailing address

140 W Greyhound Pass
Carmel, IN 46032-7003
Phone (317) 843-0965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000785 IN Practitioner - Physician Assistant 2769542562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000162AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Indiana Back Center PC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154540847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GREYHOUND PASS",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327003",
            "telephone_number": "317-843-0965",
            "fax_number": "317-571-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST",
            "address_2": "SUITE 244",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321546",
            "telephone_number": "317-846-4484",
            "fax_number": "317-571-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKAI",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000162A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.