Active NPI
Christopher J Prusinski, DO
- Neurology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS0005640
- Practice address
- 1310 W Eau Gallie Blvd
Suite B
Melbourne, FL 32935-5300 - Phone
- (321) 421-6566
- Fax
- (321) 421-6572
- NPI assigned
- Sep 8, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OS0005640 | FL | Primary |
Addresses
Primary practice location
1310 W Eau Gallie Blvd
Suite B
Melbourne, FL 32935-5300
Mailing address
1310 W Eau Gallie Blvd
Suite B
Melbourne, FL 32935-5300
Phone (321) 421-6566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80190 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ohio State University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 W Eau Gallie Blvd
Suite B
Melbourne, FL 32935-5300
Phone (321) 421-6566
Hospital & facility affiliations
- Holmes Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 84.04
- Improvement activities
- 40
- Cost
- 67.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005640 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J Prusinski DO PA | Neurology | Current | Accepting new patients |
Locations
1310 W Eau Gallie Blvd
Ste B
Melbourne, FL 32935
Phone (321) 421-6566
2404 N Courtenay Pkwy
#D
Merritt Island, FL 32953
Phone (321) 261-0055
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJDJCD/Endpoint/BJDJCD
- https://fhir4.healow.com/fhir/r4/BJDJCD
Organizations & group practices 1
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.
-
- Neurology Physician
- Melbourne, FL
- NPI 1700063708
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1467556779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W EAU GALLIE BLVD",
"address_2": "SUITE B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355300",
"telephone_number": "321-421-6566",
"fax_number": "321-421-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W EAU GALLIE BLVD",
"address_2": "SUITE B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355300",
"telephone_number": "321-421-6566",
"fax_number": "321-421-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSINSKI",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "OS0005640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80190",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.