Active NPI
Craig P Prokos, M.D.
- Internal Medicine Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101280175
- Practice address
- 136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180 - Phone
- (561) 746-3030
- Fax
- (561) 746-0771
- NPI assigned
- Aug 11, 2005
- Reactivated
- Mar 31, 2006
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME32958 | FL | |
| Internal Medicine Physician | 207R00000X | 0101280175 | VA | Primary |
Addresses
Primary practice location
136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180
Mailing address
136 Jupiter Lakes Blvd
Jupiter, FL 33458-7180
Phone (561) 746-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894
200 Weaver Ave
Emporia, VA 23847-1230
Phone (540) 814-5344
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Universal Health Corporation | Internal Medicine | Current | Accepting new patients |
| Craig P. Prokos, M.D. | Internal Medicine | Past | Accepting new patients |
Locations
5539 Highway Forty Seven
Chase City, VA 23924
Phone (434) 372-4063
200 Weaver Ave
Emporia, VA 23847
Phone (434) 634-6581
1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400
130 Church Ave SW
Roanoke, VA 24011
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
VA
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
-
- Internal Medicine Physician
- Jupiter, FL
- NPI 1316345853
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chase City Health & Rehab Center
- Skilled Nursing Facility
- Chase City, VA
- NPI 1285603142
Nursing home
-
- Skilled Nursing Facility
- Clarksville, VA
- NPI 1134738248
Nursing home
-
dba Emporia Rehabilitation and Health Center
- Skilled Nursing Facility
- Emporia, VA
- NPI 1508520974
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1205838166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 JUPITER LAKES BLVD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587180",
"telephone_number": "561-746-3030",
"fax_number": "561-746-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 JUPITER LAKES BLVD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587180",
"telephone_number": "561-746-3030",
"fax_number": "561-746-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOS",
"first_name": "CRAIG",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME32958",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101280175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Professional Audiology Associates
- Professional Therapy & Rehabilitation Services LLC (PTRS Group)
- Progressive Health and Rejuvenation
- Progressive Home Health Care Inc.
- Project Hope Autism Services
- Cynthia Prokos
- Cyndia Prophete
- Kehatilde Prophete
- Randolph Gregory Propps, DC
- Provision Care Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.