Individual provider Active NPI

Monika M Prost, MD

  • Diagnostic Radiology Physician
  • Jefferson City, MO
National Provider Identifier
1265409122
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
107116 Issued in MO
Practice address
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone
(573) 635-5264
Fax
(573) 636-9756
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 107116 MO
Diagnostic Radiology Physician 2085R0202X 107116 MO Primary

Addresses

Primary practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240
Phone (573) 635-5264

Other identifiers 1

IdentifierTypeStateIssuer
208700302MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050207000012 MO Practitioner - Internal MedicinePractitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 5294786349 Reassigns benefits to 4 organizations
I20140108000726 IA Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 5294786349 Reassigns benefits to 3 organizations
I20210630003387 IL Practitioner - Internal MedicinePractitioner - Diagnostic Radiology 5294786349 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Lutheran Health Center, Inc. CurrentSince Aug 17, 2013 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Jan 19, 2026 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Jul 2, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 29, 2026 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 2, 2019 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Feb 17, 2020 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 29, 2026 Accepting new patients
Rockford Health Physicians CurrentSince Jan 29, 2026 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Jan 19, 2026 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Jul 2, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 2, 2019 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
Pike Emergency Medicine LLC Emergency Medicine Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Curators of the University of Missouri Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Pegasus Emergency Group Moberly Emergency Medicine Past Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2780 McFarland Rd
Rockford, IL 61107
Phone (815) 637-0000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

4750 Mexico Rd
Saint Peters, MO 63376
Phone (636) 498-4555

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Interoperability endpoints

  • Direct secure messaging: mprostmd460622@carlehiedirect.net
  • Direct secure messaging: mprost230404@direct.emplifyhealth.org

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Diagnostic Radiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health Physicians 520 clinicians
Mercy Health System Corporation 749 clinicians

Practice addresses (Care Compare)

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

  • Graham Hospital Association Hospital, Canton, IL, CCN 141356
  • Graham Hospital Association Hospital, Canton, IL, CCN 140001
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Mercyhealth Hospital & Physician Clinic-Crystal la Hospital, Crystal Lake, IL, CCN 140308

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1265409122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104240",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651104240",
            "telephone_number": "573-635-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-635-5264",
            "fax_number": "573-636-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROST",
        "first_name": "MONIKA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "107116",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "107116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208700302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.