RACHAEL PROKES
NPI 1790167708
Dentist - Oral and Maxillofacial Surgery in Tucson, AZ

Q: What is Rachael Prokes's NPI number?

The NPI number for Rachael Prokes is 1790167708. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Rachael Prokes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Rachael Prokes enrolled in Medicare?

No. Rachael Prokes has opted out of Medicare through August 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Rachael Prokes was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 25, 2015Opted out of Medicare · through Aug 10, 2026

839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Rachael Prokes NPPES

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

RACHAEL PROKES (NPI 1790167708) is an individual oral and maxillofacial surgery provider in Tucson, Arizona, licensed in Ohio (3623) and active in the NPI registry since June 2015. She has opted out of Medicare through August 10, 2026 and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1790167708

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameRACHAEL PROKES

Location Address839 W CONGRESS STTucson, AZ 85745-2819

Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560

Phone(520) 670-3909

Fax(520) 309-2560

Sole ProprietorYes

Enumeration DateJune 25, 2015

Last NPPES UpdateMarch 1, 2025

NPPES CertifiedMarch 1, 2025

✔ NPI 1790167708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in OH · 3623

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

839 W CONGRESS ST, Tucson, AZ 85745

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Secondary Practice Location 1

Location 1305 W 12th AveColumbus, OH 43210-1267 · Phone (614) 688-3763

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rachael Prokes has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2020 through August 10, 2026.

Opt-Out Effective DateAugust 10, 2020

Opt-Out In Effect ThroughAugust 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

NICOLA FINLEY MD

Internal Medicine