DR. JOSEPH PRANO D.O.
NPI 1124447347
Internal Medicine - Cardiovascular Disease in Kalamazoo, MI

Q: What is Joseph Prano's NPI number?

The NPI number for Joseph Prano is 1124447347. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Joseph Prano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Prano was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

85.78/100

CMS Quality Rating

1722 SHAFFER ST, KALAMAZOO, MI 49048(269) 381-3963 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Joseph Prano D.o. NPPES

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

DR. JOSEPH PRANO D.O. (NPI 1124447347) is an individual cardiovascular disease provider in Kalamazoo, Michigan, licensed in Michigan (5101020921) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and maintains a secondary practice location in Grand Blanc.

NPPES Registry Identity

NPI1124447347

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JOSEPH PRANOCredential: D.O.

Location Address1722 SHAFFER STKalamazoo, MI 49048-1633

Mailing Address1722 Shaffer StKalamazoo, MI 49048-1633

Phone(269) 381-3963

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014

Enumeration DateApril 15, 2014

Last NPPES UpdateDecember 14, 2022

NPPES CertifiedDecember 14, 2022

✔ NPI 1124447347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MI · 5101020921

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License L206910 (MI)

1722 SHAFFER ST, Kalamazoo, MI 49048

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Genesys PkwyGrand Blanc, MI 48439-8065 · Phone (810) 606-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Prano D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193045151

PECOS Enrollment IDI20200909001402

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

Medicare enrollment records show Joseph Prano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promed Healthcare

Same address

Counselor

1722 SHAFFER ST
Kalamazoo, MI 49048

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Ascension Medical Group Promed
465 clinicians in this Medicare group

NPI 1568592038 (269) 226-5600

Ascension Borgess Hospital

0.1 mi

Trauma Surgery

1535 GULL RD, SUITE 005
Kalamazoo, MI 49048

Reassigned Medicare billing, Michigan enrollment
247 clinicians in this Medicare group

NPI 1336279827 (269) 226-6917

Beacon Dowagiac Inc

36 mi

Critical Access

420 W HIGH ST
Dowagiac, MI 49047

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Ascension Borgess Lee Hospital
Also billed through NPI 1194717504 (Michigan)
133 clinicians in this Medicare group

NPI 1194771030 (269) 782-8681

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

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

313 services231 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

267 services257 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

233 services189 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

163 services110 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

119 services118 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

108 services84 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

75 services71 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

71 services68 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

67 services67 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

60 services60 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

43 services41 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

42 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

42 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

38 services38 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

34 services33 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

31 services30 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services26 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

25 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

22 services22 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

21 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services17 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

18 services17 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

16 services16 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

15 services15 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

13 services12 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230015

Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County

Birthing friendly

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230022

Location274 E Chicago StColdwater, MI 49036 · Branch County

Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI

OwnershipVoluntary non-profit - Church

CMS Certification Number231315

Location420 W High StDowagiac, MI 49047 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

90.14

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.

WILLIAM DYER

Psychologist

1722 SHAFFER ST
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-5600

PREMIER CARDIOLOGY PC

Internal Medicine (Cardiovascular Disease)

1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048

Kalamazoo County (269) 381-3963

DR. RAMONA TAN M.D.

Psychiatry & Neurology (Psychiatry)

1722 SHAFFER ST, SUITE #3
KALAMAZOO, MI 49048

Kalamazoo County (269) 337-6373

DR. ANTHONY KING

Internal Medicine (Cardiovascular Disease)

1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048

Kalamazoo County (269) 381-3963

SUHAIL SHEIKH M.D.

Psychiatry & Neurology (Psychiatry)

1722 SHAFFER ST, STE 3
KALAMAZOO, MI 49048

Kalamazoo County (269) 337-6373

STEPHEN NEWMAN

Marriage & Family Therapist

1722 SHAFFER ST
KALAMAZOO, MI 49048

Kalamazoo County (269) 226-5600

FRANK S SALTIEL M.D.

Internal Medicine (Interventional Cardiology)

1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048

Kalamazoo County (269) 381-3963

GERARD JOSEPH GOLE PA-C

Physician Assistant

1722 SHAFFER ST, STE #1
KALAMAZOO, MI 49048

Kalamazoo County (269) 381-3963

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 Joseph Prano's NPI number?

The NPI number for Joseph Prano is 1124447347. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Joseph Prano located?

Joseph Prano practices at 1722 Shaffer St, Kalamazoo, MI 49048. The listed phone number is (269) 381-3963.

What is Joseph Prano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Joseph Prano enrolled in Medicare?

Yes. Joseph Prano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joseph Prano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Prano reassigns Medicare benefits to 3 organizations: Promed Healthcare (Kalamazoo, MI), Ascension Borgess Hospital (Kalamazoo, MI) and Beacon Dowagiac Inc (Dowagiac, MI). 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 Joseph Prano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Prano accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Joseph Prano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Prano affiliated with any hospitals?

According to CMS data, Joseph Prano is affiliated with Three Rivers Health, Bronson Methodist Hospital, Promedica Coldwater Regional Hospital, Borgess Medical Center and Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Prano was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.