Charles Pruchno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-27892 Issued in IA

Practice address

202 10TH St SE
Cedar Rapids, IA 52403-2414

Phone

(319) 247-3899

NPI assigned

Jun 1, 2006

Last updated

May 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Internal MedicineAlso: Nephrology

Education

Indiana University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
• Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Pruchno Medicine, LLC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1225433675
  Authorized official Same address or phone
• Sound Physicians of Iowa, PLLC

  • Internal Medicine Physician
  • Mason City, IA
  • NPI 1912398249

  Family Medicine

  NPD
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  NPD (past)

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

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• St Luke's Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741
  Care Compare affiliation
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1194762849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-247-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-247-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUCHNO",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-27892",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "27892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101865",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Hearing Services, Inc. (Professional Hearing Solutions by Dr. Jill)
• Progressive Rehabilitation Medicine, PC
• Michelle Marie Proskovec, PHARMD
• Pruchno Medicine LLC. / Health Transitions Clinic
• Pruchno Medicine, LLC
• Nicole M Pruchno, ARNP
• Kayla Marie Pruett
• Joshua A Pruitt, M.D.
• Jacquiline Lim Pruna Castillo, PT
• Sarah Pudenz, ARNP

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.