NPIMap

Individual provider Active NPI

Daniel J Prohaska, MD

  • Orthopaedic Surgery Physician
  • Wichita, KS
National Provider Identifier
1356318570
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-26939 Issued in KS
Practice address
9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone
(316) 631-1600
Fax
(316) 631-1666
NPI assigned
Mar 7, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-26939 KS Primary

Addresses

Primary practice location

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100

Mailing address

9828 E Shannon Woods Cir # 100
Wichita, KS 67226-4100
Phone (316) 631-1600

Other identifiers 1

IdentifierTypeStateIssuer
100395860BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000132 KS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9739163031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic Associates, P.a.Group PAC ID 1850285057, 47 clinicians

Practice addresses (Care Compare)

1323 N a St
Wellington, KS 67152-4350
Phone (316) 631-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as group
Quality
61.12
Promoting interoperability
100
Improvement activities
40
Cost
70.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Jan 1, 2002 Accepting new patients
Advanced Orthopaedic Associates, P.a. Orthopaedic Surgery CurrentSince Jan 1, 2002 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Orthopaedic Surgery Past Accepting new patients

Locations

2778 N Webb Rd
Wichita, KS 67226
Phone (316) 631-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHFAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Surgery and Recovery CenterWichita, KS, CCN 170183 Hospital Limited Partnership Interest (0.8%) Oct 11, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1356318570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E SHANNON WOODS CIR # 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264100",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-26939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100395860B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.