Richard Prokesch, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

019754 Issued in GA

Practice address

6285 Garden Walk Blvd
Ste a
Riverdale, GA 30274-2612

Phone

(770) 991-1150

Fax

(770) 991-9047

NPI assigned

Jul 31, 2006

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, WI, IL, MI4 enrollments

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 4

Specialty

Infectious Disease

Education

New York Medical College, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlanta Id Group PCGroup PAC ID 9638120231, 16 clinicians

Froedtert Andthe Medical College of Wisconsin Community Physicians IncGroup PAC ID 3678760063, 1,265 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
• Froedtert Community Hospital Hospital, New Berlin, WI, CCN 520213

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: richardprokesch@mmc.medalliesdirect.net
• Direct secure messaging: rprokesch408838@direct.froedtert.com

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.

• Atlanta I.D. Group, PC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1699805697
  Medicare reassignment Care Compare group NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment Care Compare group NPD
• Infectious Diseases Associates, PC

  • Infectious Disease Physician
  • Riverdale, GA
  • NPI 1689881989
  Medicare reassignment NPD
• Ascension Calumet Hospital, Inc

  dba Ascension Calumet Hospital

  • Critical Access Hospital
  • Chilton, WI
  • NPI 1376541748
  Medicare reassignment NPD
• Aspirus Eagle River Hospital & Clinics, Inc.

  dba Aspirus Eagle River Hospital

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342
  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  dba Aspirus Ironwood Clinic

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753
  Medicare reassignment NPD
• Aspirus Keweenaw

  dba Aspirus Laurium Clinic

  • Rural Health Clinic/Center
  • Laurium, MI
  • NPI 1205998713
  Medicare reassignment NPD
• Aspirus Keweenaw

  dba Aspirus Keweenaw Hospital

  • Critical Access Hospital
  • Laurium, MI
  • NPI 1326115569
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Gilman Clinic

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Medford Hospital

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  Medicare reassignment NPD

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

• Amedisys Georgia, LLC

  dba Central Home Health Care, an Amedisys Company

  • Home Health Agency
  • Douglasville, GA
  • NPI 1437117090
  Care Compare affiliation
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation
• Froedtert Health Neighborhood Hospital, LLC

  dba Froedtert Community Hospital

  • General Acute Care Hospital
  • Oak Creek, WI
  • NPI 1134794506
  Care Compare affiliation
• Froedtert Health Neighborhood Hospital, LLC

  dba Froedtert Community Hospital

  • General Acute Care Hospital
  • New Berlin, WI
  • NPI 1730710898
  Care Compare affiliation
• Froedtert Health Neighborhood Hospital, LLC

  dba Froedtert Community Hospital

  • General Acute Care Hospital
  • Pewaukee, WI
  • NPI 1740805423
  Care Compare affiliation
• Froedtert Health Neighborhood Hospital, LLC

  dba Froedtert Community Hospital

  • General Acute Care Hospital
  • Mequon, WI
  • NPI 1902474430
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1427064583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 GARDEN WALK BLVD",
            "address_2": "STE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742612",
            "telephone_number": "770-991-1150",
            "fax_number": "770-991-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 GARDEN WALK BLVD",
            "address_2": "STE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742612",
            "telephone_number": "770-991-1150",
            "fax_number": "770-991-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKESCH",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "019754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00159057A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Foundation - Southern Regional, LLC (Southern Regional Medical Center)
• Prime Healthcare Foundation - Southern Regional, LLC (Southern Regional Medical Center)
• Prime Healthcare Foundation - Southern Regional, LLC
• Prime RX Consultant Services Inc (Riverdale Pharmacy)
• Primecare Medical Center
• Promed Ambulance Service
• Padma Niharika Putrevu, MD
• QMG Healthcare & Group Home LLC
• Quality Personal Assistance
• Quantum Natural Health & Wellness Corp

• Infectious Disease Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.

Verify at the official NPI Registry.