MATTHEW DAVID JONATHAN PROK M.D.
NPI 1780950790
Psychiatry & Neurology - Child & Adolescent Psychiatry in Aurora, CO

Q: What is Matthew Prok's NPI number?

The NPI number for Matthew Prok is 1780950790. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Q: What is Matthew Prok'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 Matthew Prok was last updated on March 25, 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 25, 2012PECOS Enrolled

14301 E HAMPDEN AVE, AURORA, CO 80014(303) 617-2300 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 25, 2021, Aug 4, 2020, Aug 15, 2017 (3 updates tracked since 2017).

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About Matthew David Jonathan Prok M.d. NPPES

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

MATTHEW DAVID JONATHAN PROK M.D. (NPI 1780950790) is an individual child & adolescent psychiatry provider in Aurora, Colorado, licensed in Colorado (DR.0055019) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2012).

NPPES Registry Identity

NPI1780950790

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMATTHEW DAVID JONATHAN PROKCredential: M.D.

Location Address14301 E HAMPDEN AVEAurora, CO 80014-3902

Mailing Address1290 Chambers RdAurora, CO 80011-7117 · (303) 617-2300

Phone(303) 617-2300

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2012

Enumeration DateMarch 25, 2012

Last NPPES UpdateMarch 25, 20213 updates tracked since enumeration

NPPES CertifiedMarch 25, 2021

✔ NPI 1780950790 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 CO · DR.0055019

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 · PsychiatryTaxonomy 2084P0800X · License DR.0055019 (CO)

14301 E HAMPDEN AVE, Aurora, CO 80014

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew David Jonathan Prok M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244522530

PECOS Enrollment IDI20170914000590

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.

STEPHANIE JASO LMFT

Marriage & Family Therapist