DR. ANDRE PROCHOROFF MD
NPI 1376523670
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cleveland, OH

Q: What is Andre Prochoroff's NPI number?

The NPI number for Andre Prochoroff is 1376523670. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Andre Prochoroff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Andre Prochoroff was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 20, 2006PECOS EnrolledAccepts Medicare Assignment

2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-4933(216) 778-4223 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andre Prochoroff Md NPPES

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

DR. ANDRE PROCHOROFF MD (NPI 1376523670) is an individual child & adolescent psychiatry provider in Cleveland, Ohio, licensed in Ohio (35087023) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1376523670

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. ANDRE PROCHOROFFCredential: MD

Location Address2500 METROHEALTH DRCleveland, OH 44109-1900

Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-4933 · Fax (216) 778-4223

Phone(216) 778-4933

Fax(216) 778-4223

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 20, 2006

Last NPPES UpdateApril 7, 2009

✔ NPI 1376523670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in OH · 35087023

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 226565 (NY)

2500 METROHEALTH DR, Cleveland, OH 44109

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Other Identifiers 2

Medicare UPINI47363NY

Medicare ID-Type UnspecifiedRA8910NY

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andre Prochoroff Md 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 ID648292474

PECOS Enrollment IDI20060906000038

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.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360059

Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$3.88 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

2 suppliers21 claims6,447 services$0.99 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$4.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMIR RAZAVI MD

Internal Medicine