James Prusha, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.003327 Issued in IL

Practice address

1525 W Homer St
# 101
Chicago, IL 60642-1280

Phone

(773) 443-8680

Fax

(773) 292-1939

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ad Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1629015904

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1316950405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "address_2": "# 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421280",
            "telephone_number": "773-443-8680",
            "fax_number": "773-292-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "address_2": "# 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421280",
            "telephone_number": "773-443-8680",
            "fax_number": "773-292-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSHA",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.003327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shervylle Pruitt
• Bozena Prus, PA
• Igor Prus, MD
• Jaroslaw Prus, P.T.
• Nicholas Marek Prus
• Jacqueline M Prusinski, ATC
• Olivia Katherine Pruss, MD
• Ana Pruteanu, MS, RDN, LDN
• Nancy Prybylo, O.D.
• Amy Nicole Prychitko, D.C.

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.