Individual provider Active NPI

George Pronesti, M.D.

  • Ophthalmology Physician
  • King of Prussia, PA
National Provider Identifier
1275649923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD056009L Issued in PA
Practice address
200 Mall Blvd
King of Prussia, PA 19406-2902
Phone
(610) 337-1580
Fax
(610) 337-2133
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Ophthalmology Physician 207W00000X MD056009L PA Primary

Addresses

Primary practice location

200 Mall Blvd
King of Prussia, PA 19406-2902

Mailing address

200 Mall Blvd
King of Prussia, PA 19406-2902
Phone (610) 337-1580

Other identifiers 1

IdentifierTypeStateIssuer
001644218002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20051101000081 PA Practitioner - Ophthalmology 7810944667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Vision Associates Group Practice, LLCGroup PAC ID 6002833753, 14 clinicians

Practice addresses (Care Compare)

1018 W 9TH Ave
King of Prussia, PA 19406-1225
Phone (610) 337-1580

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
93.25
Promoting interoperability
97
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056009LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Vision Associates Group Practice, LLC Ophthalmology CurrentSince Jul 12, 2005 Accepting new patients
Omni Eye Specialists P a Ophthalmology PastSince Jun 10, 2024 Accepting new patients
Intouch Med Supply PastSince Apr 16, 2023 Accepting new patients

Locations

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

100 E Lehigh Ave
Ste 201
Philadelphia, PA 19125
Phone (215) 427-6370

412 W Lehigh Ave
#1
Philadelphia, PA 19133

420 W Linfield Trappe Rd
Ste 3300
Royersford, PA 19468
Phone (610) 495-2535

1100 Heritage Dr
Sanatoga, PA 19464
Phone (610) 326-2754

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

865 Easton Rd
Ste 240
Warrington, PA 18976
Phone (215) 675-4992

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Interoperability endpoints

  • Direct secure messaging: george.pronesti.p6@direct.omnieyeservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275649923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONESTI",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD056009L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001644218002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.