Active NPI
Monika M Prost, MD
- Diagnostic Radiology Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 107116
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208700302 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050207000012 | MO | Practitioner - Internal Medicine | 5294786349 | Reassigns benefits to 4 organizations |
| I20140108000726 | IA | Practitioner - Diagnostic Radiology | 5294786349 | Reassigns benefits to 3 organizations |
| I20210630003387 | IL | Practitioner - Internal Medicine | 5294786349 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Emergency Medicine | Current | 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
- mprostmd460622@carlehiedirect.net
- 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
MO
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
MO
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine, MO
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine, MO
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1386879427
Emergency Medicine, IA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
IA
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Multi-Specialty Clinic/Center
- O Fallon, IL
- NPI 1477076263
IL
-
- Pharmacy
- Milton, WI
- NPI 1013953504
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
Hospital
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rockford Health PhysiciansMercy Health System Corporation
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
- Graham Hospital Association
- Javon Bea Hospital
- Memorial Hospital
- Mercyhealth Hospital & Physician Clinic-Crystal la
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.