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DALE PROKUPEK MD INC
NPI 1548569197
Internal Medicine - Gastroenterology in Beverly Hills, CA

Active since March 22, 2011
8641 WILSHIRE BLVD, 100, BEVERLY HILLS, CA 90211(310) 360-6807(310) 360-6683 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dale Prokupek Md Inc NPPES

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

DALE PROKUPEK MD INC (NPI 1548569197) is a healthcare organization registered as a gastroenterology in Beverly Hills, California and active in the NPI registry since March 2011. The organization lists Dale A Prokupek, Owner, as its authorized official.

NPPES Registry Identity

NPI1548569197
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDALE PROKUPEK MD INC
Location Address8641 WILSHIRE BLVD, 100Beverly Hills, CA 90211-2900
Mailing Address1710 N Fairfax AveLos Angeles, CA 90046-2136 · (310) 360-6807 · Fax (310) 360-6683
Phone(310) 360-6807
Fax(310) 360-6683
Organization SubpartNo
Authorized OfficialDale A ProkupekOwner · (310) 360-6807
Enumeration DateMarch 22, 2011
✔ NPI 1548569197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · G71035
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License G71035 (CA)
8641 WILSHIRE BLVD, Beverly Hills, CA 90211
Open in Google Maps ↗

Other Identifiers 1

OtherG71035ACA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dale Prokupek Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dale Prokupek MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dale Prokupek, MD
Gastroenterology
NPI 1780725408
8641 WILSHIRE BLVD SUITE 100
Beverly Hills, CA 90211
(310) 360-6807
✔ PECOS✔ Accepts MedicareSame address

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

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 Dale Prokupek MD Inc's NPI number?

The NPI number for Dale Prokupek MD Inc is 1548569197. It was assigned to this organization in the NPPES registry on March 22, 2011.

Where is Dale Prokupek MD Inc located?

Dale Prokupek MD Inc is located at 8641 Wilshire Blvd 100, Beverly Hills, CA 90211. The listed phone number is (310) 360-6807.

What is Dale Prokupek MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dale Prokupek MD Inc enrolled in Medicare?

Yes. Dale Prokupek MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dale Prokupek MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Dale Prokupek MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dale Prokupek MD Inc was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.