Active NPI
Vassil Kosta Prokhov, MD
- Cardiovascular Disease Physician
- Pittsburgh, PA
National Provider Identifier
1396825022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 025849E
- Practice address
- 1050 Bower Hill Road
Pittsburgh, PA 15243 - Phone
- (412) 572-6190
- Fax
- (412) 572-6946
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 025849E | PA | Primary |
Addresses
Primary practice location
1050 Bower Hill Road
Pittsburgh, PA 15243
Mailing address
1050 Bower Hill Road
Pittsburgh, PA 15243
Phone (412) 572-6190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008614200003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025849E | PA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396825022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 BOWER HILL ROAD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15243",
"telephone_number": "412-572-6190",
"fax_number": "412-572-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BOWER HILL ROAD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15243",
"telephone_number": "412-572-6190",
"fax_number": "412-572-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKHOV",
"first_name": "VASSIL",
"middle_name": "KOSTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "025849E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008614200003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.