Dennis W Prohaska, D. O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

02004880B Issued in IN

Practice address

1516 S Wabash Ave
Apt 1104
Chicago, IL 60605-2903

Phone

(414) 870-5178

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, IL, WI3 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 3

Specialty

Diagnostic Radiology

Education

Chicago College of Osteopathy, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Radiology Associates of Appleton SCGroup PAC ID 6002851862, 31 clinicians

Medical X-Ray Consultants LTDGroup PAC ID 3274447313, 38 clinicians

Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
• Franciscan Health Munster Hospital, Munster, IN, CCN 150165
• Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations (25 of 40)

Interoperability endpoints

• Direct secure messaging: dennis.prohaska.1@16383.direct.athenahealth.com
• Direct secure messaging: dprohaska234038@direct.franciscanalliance.org
• Direct secure messaging: dprohaska3464352@direct.trinity-health.org
• Direct secure messaging: dennisprohaska@jph.medalliesdirect.net

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.

• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment Care Compare group NPD
• Centers for Pain Control, Inc

  • Pain Medicine Physician
  • La Porte, IN
  • NPI 1790920452

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611

  IL

  Medicare reassignment Care Compare group NPD
• Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
  • NPI 1386601383

  Diagnostic Radiology, IL, WI

  Medicare reassignment Care Compare group NPD
• Premier Radiology Wisconsin, LLC

  • Diagnostic Radiology Physician
  • Mount Pleasant, WI
  • NPI 1952951154
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Appleton, S.C.

  • Diagnostic Radiology Physician
  • Appleton, WI
  • NPI 1841229093

  IL

  Medicare reassignment Care Compare group NPD
• Friedell Clinic, S. C.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1306854021
  Medicare reassignment NPD
• Swedishamerican Hospital

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1962451732
  Medicare reassignment NPD
• Advanced Pain & Anesthesia Consultants, PC

  • Pain Medicine (Anesthesiology) Physician
  • Crown Point, IN
  • NPI 1457387078
  Medicare reassignment NPD
• Saint Joseph Regional Medical Center, Inc.

  • Pulmonary Disease Physician
  • Plymouth, IN
  • NPI 1225082878

  Physician Assistant

  Medicare reassignment NPD
• Jackson Park Hospital Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1497750699
  NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD

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

• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1679336747
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • Michigan City, IN
  • NPI 1710051941
  Care Compare affiliation
• Franciscan Health Munster

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1427493246
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1689651010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S WABASH AVE",
            "address_2": "APT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052903",
            "telephone_number": "414-870-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S WABASH AVE",
            "address_2": "APT 1104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052903",
            "telephone_number": "414-870-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "DENNIS",
        "middle_name": "W",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1610-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002276",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "085-002276",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02004880B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41994500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Progressive Institute of Allergy, Inc.
• Progressive Mental Health
• Progressivecare for Women
• Progresto Inc
• Melissa Prohammer
• Prohealth Prevention LLC
• Ame Proietti
• Project Brotherhood
• Project Hope, Inc.
• Project Vida, Inc.

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.