Prakorb Isariyawongse, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD033993L Issued in PA

Practice address

129 Simpson Road
Suite 108
Brownsville, PA 15417

Phone

(724) 785-9696

Fax

(724) 785-7225

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

General PracticeAlso: General Surgery

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
• Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Prakorb Medical Associate Inc.

  • Multi-Specialty Clinic/Center
  • Brownsville, PA
  • NPI 1902127095

  Surgery

  Medicare reassignment NPD Authorized official

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

• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation
• Monongahela Valley Hospital, Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monongahela, PA
  • NPI 1184401259
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1639353428
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1912905548
  Care Compare affiliation
• Uniontown Hospital

  • Clinic/Center
  • Uniontown, PA
  • NPI 1225045131

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • Internal Medicine Physician
  • Uniontown, PA
  • NPI 1245488048

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • Institutional Pharmacy
  • Uniontown, PA
  • NPI 1801910989

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • General Acute Care Hospital
  • Uniontown, PA
  • NPI 1861409773
  Care Compare affiliation
• Uniontown Hospital

  • General Acute Care Hospital
  • Uniontown, PA
  • NPI 1871594127
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1912012022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SIMPSON ROAD",
            "address_2": "SUITE 108",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "15417",
            "telephone_number": "724-785-9696",
            "fax_number": "724-785-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SIMPSON ROAD",
            "address_2": "SUITE 108",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "15417",
            "telephone_number": "724-785-9696",
            "fax_number": "724-785-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISARIYAWONGSE",
        "first_name": "PRAKORB",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD033993L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD033993L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "202932",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "60542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7938474011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "020031897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0708585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "129649",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005869240004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "251310157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "18700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Herron, PT
• Hospitalmd of Brownsville Ed, Inc.
• Hospitalmd of Brownsville Ip, Inc.
• Millicent Hunchuck, CRNP
• Dorothy L Ingram, LPC
• James P. Garofalo, D.D.S., LLC
• Kimberly Jesionowski, PHARMD
• Keystone Counseling & Social Services LLC
• Keystone Rehabilitation Systems Inc
• Michele Czuchan Komara, PT

• General Practice Physician in Brownsville, PA
• Providers in Brownsville, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.