Individual provider Active NPI

Laura J Prokuski, MD

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1689638249
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34717 Issued in AZ
Practice address
3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone
(480) 874-2040
Fax
(480) 874-2041
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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 34717 AZ Primary

Addresses

Primary practice location

3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912

Mailing address

3126 N. Civic Center Plaza
Scottsdale, AZ 85251-6912
Phone (480) 874-2040

Other identifiers 1

IdentifierTypeStateIssuer
376601MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000041 AZ Practitioner - Orthopedic Surgery 6406748086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Orthopaedic Trauma SurgeonsGroup PAC ID 5991735979, 29 clinicians

Practice addresses (Care Compare)

9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2402
Phone (480) 874-2040

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Orthopaedic Trauma Surgeons CurrentSince Mar 26, 2025 Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

9250 N 3rd St
Ste 1003
Phoenix, AZ 85020
Phone (602) 331-7811

702 E Bell Rd
Ste 117
Phoenix, AZ 85022
Phone (602) 482-7311

3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760

3501 N Scottsdale Rd
Ste 136
Scottsdale, AZ 85251
Phone (480) 882-6050

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3172 N Swan Rd
Tucson, AZ 85712
Phone (520) 795-8777

6565 E Carondelet Dr
Ste 235
Tucson, AZ 85710
Phone (520) 367-1050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1689638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 N. CIVIC CENTER PLAZA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-874-2040",
            "fax_number": "480-874-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-874-2040",
            "fax_number": "480-874-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKUSKI",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "34717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.