JOHN DAVID PROLOGO M.D.
NPI 1558308379
Radiology - Vascular & Interventional Radiology in Atlanta, GA
About John David Prologo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DAVID PROLOGO M.D. (NPI 1558308379) is an individual vascular & interventional radiology provider in Atlanta, Georgia, licensed in Georgia (72294) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Ohio State University College Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
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
John David Prologo M.d. 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 John Prologo's NPI number?
The NPI number for John Prologo is 1558308379. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is John Prologo located?
John Prologo practices at 1364 Clifton Road NE Suite D111, Atlanta, GA 30322. The listed phone number is (404) 712-7033.
What is John Prologo's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is John Prologo enrolled in Medicare?
Yes. John Prologo 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.
Is John Prologo affiliated with any hospitals?
According to CMS data, John Prologo is affiliated with Emory University Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for John Prologo was last updated on April 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# John David Prologo, M.D. · NPI 1558308379
Vascular & Interventional Radiology physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1558308379 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 72294 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON ROAD NE, SUITE D111, Atlanta, GA 30322
- **Phone:** (404) 712-7033 · **Fax:** (404) 712-7970
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Ohio State University College Of Medicine, class of 2001
## Record status
- **NPPES last updated:** April 28, 2015
- **Other identifiers:** Other 752765 (OH); Medicare PIN PR4194083 (OH); Other 389288 (OH); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1558308379) · Data from the CMS NPPES public registry.