DR. ZACHARY DAVID PRUDOWSKY MD
NPI 1457745507
Pediatrics - Pediatric Hematology-Oncology in Houston, TX

Q: What is Zachary Prudowsky's NPI number?

The NPI number for Zachary Prudowsky is 1457745507. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Zachary Prudowsky's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Prudowsky was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 26, 2015PECOS Enrolled

6621 FANNIN ST, HOUSTON, TX 77030(423) 503-7466 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2021, Apr 20, 2021, Apr 16, 2021 (3 updates tracked since 2021).

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About Dr. Zachary David Prudowsky Md NPPES

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

DR. ZACHARY DAVID PRUDOWSKY MD (NPI 1457745507) is an individual pediatric hematology-oncology provider in Houston, Texas, licensed in Texas (T0897) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2015).

NPPES Registry Identity

NPI1457745507

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. ZACHARY DAVID PRUDOWSKYCredential: MD

Location Address6621 FANNIN STHouston, TX 77030-2358

Mailing Address6621 Fannin StHouston, TX 77030-2358 · (423) 503-7466

Phone(423) 503-7466

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2015

Enumeration DateMarch 26, 2015

Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1457745507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · T0897

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 35.131280 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6621 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Zachary David Prudowsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345545505

PECOS Enrollment IDI20251205001533

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.

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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)