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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES VINCENT PROCHAZKA M.D.
NPI 1083723852
Pediatrics - Pediatric Cardiology in Madera, CA

Active since August 29, 2006PECOS Enrolled
9300 VALLEY CHILDRENS PL, MADERA, CA 93638(559) 353-6257(559) 353-5455 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Vincent Prochazka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES VINCENT PROCHAZKA M.D. (NPI 1083723852) is an individual pediatric cardiology provider in Madera, California, licensed in California (C32992) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083723852
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JAMES VINCENT PROCHAZKACredential: M.D.
Location Address9300 VALLEY CHILDRENS PLMadera, CA 93638-8761
Mailing Address3333 W Chennault AveFresno, CA 93711-0218 · (559) 353-6257 · Fax (559) 353-5455
Phone(559) 353-6257
Fax(559) 353-5455
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 25, 2026
✔ NPI 1083723852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CA · C32992
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
9300 VALLEY CHILDRENS PL, Madera, CA 93638
Open in Google Maps ↗

Other Identifiers 1

OtherC329992CA · State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Vincent Prochazka M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Prochazka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Children's Specialty Medical Group, Inc.
Same address
Pediatrics
9300 VALLEY CHILDRENS PL
Madera, CA 93636
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Specialty Medical Group Inc
  • 63 clinicians in this Medicare group
NPI 1013968296 (559) 353-5700
Valley Children's Medical Group
85 mi
Pediatrics
1524 MCHENRY AVE, SUITE 550
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Valley Childrens Medical Group
  • 387 clinicians in this Medicare group
NPI 1437555265 (559) 353-5010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%59 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%59 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEITH STANLEY MARTIN LCSW
Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (558) 353-3000
DR. SUDHAKAR REDDIVALAM M.D.
Pediatrics (Pediatric Pulmonology)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-5550
JOHN SANCHEZ M.D.
Pediatrics
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-5068
JILL LYNLEE CIELNICKY NP
Nurse Practitioner
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-7290
MRS. ANGELA M ROMERO-WATERMAN MSW
Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-5270
SARAH MARIE SCOTT NP
Nurse Practitioner (Occupational Health)
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-8674
DR. DAVID WAYNE SCHARNHORST M.D.
Pathology (Pediatric Pathology)
9300 VALLEY CHILDRENS PL, PATHOLOGY SC12
MADERA, CA 93638
Madera County (559) 353-6105
BRADY C BATES PHD
Psychologist
9300 VALLEY CHILDRENS PL
MADERA, CA 93638
Madera County (559) 353-6735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Prochazka's NPI number?

The NPI number for James Prochazka is 1083723852. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is James Prochazka located?

James Prochazka practices at 9300 Valley Childrens Pl, Madera, CA 93638. The listed phone number is (559) 353-6257.

What is James Prochazka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is James Prochazka enrolled in Medicare?

Yes. James Prochazka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Prochazka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Prochazka reassigns Medicare benefits to 2 organizations: Valley Children's Specialty Medical Group, Inc. (Madera, CA) and Valley Children's Medical Group (Modesto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Prochazka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Prochazka was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.