Active NPI
Natalya Prokhorova, M.D.
- Pediatrics Physician
- Springfield, MA
National Provider Identifier
1609831197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 223850
- Practice address
- 1040 Main St
Springfield, MA 01103-2107 - Phone
- (413) 739-1100
- Fax
- (413) 735-1133
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223850 | MA | Primary |
Addresses
Primary practice location
1040 Main St
Springfield, MA 01103-2107
Mailing address
1040 Main St
Springfield, MA 01103-2107
Phone (413) 739-1100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000031647 | Other | MA | HEALTHNET |
| AA36432 | Other | MA | HARVARD PILGRIM |
| 1310097 | Medicaid | MA | |
| 967563 | Other | MA | NETWORK HEALTH |
| J28812 | Other | MA | BC/BS |
| MP0591087A | Other | MA | CSR |
| 2235976 | Other | MA | CIGNA |
| 0036480 | Other | MA | NHP |
| 223850 | Other | CONNECTICARE | |
| 36842 | Other | MA | HNE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223850 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609831197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032107",
"telephone_number": "413-739-1100",
"fax_number": "413-735-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032107",
"telephone_number": "413-739-1100",
"fax_number": "413-735-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKHOROVA",
"first_name": "NATALYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "223850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "000000031647",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA36432",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1310097",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "967563",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "J28812",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "MP0591087A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2235976",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0036480",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "223850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "36842",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.