JOHN D. PROLOGO M.D. – NPI #1558308379
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

JOHN PROLOGO is a radiologist located in ATLANTA, GA. NPPES has assigned the NPI number 1558308379 to JOHN PROLOGO on June 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 11 years ago on Apr 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN PROLOGO below.

NPI Profile for
JOHN D. PROLOGO

NPI Number
1558308379
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN D. PROLOGO
Credentials
M.D.
Primary location
1364 CLIFTON ROAD NE
SUITE D111
ATLANTA, GA 30322
Phone: (404) 712-7033 Fax: (404) 712-7970
Mailing address
1364 CLIFTON RD NE
SUITE AG05
ATLANTA, GA 30322
Phone: (404) 712-7033 Fax: (404) 712-7970
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN PROLOGO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAOH9808106
OTHERANTHEMOH000000516404
OTHERBUCKEYEOH752765
OTHERRAILROAD MEDICAREOHP00420609
OTHERUNISONOH000000230982
OTHERWELLCAREOH389288
MEDICAIDOH2691823
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
GA 72294

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN PROLOGO is affiliated with the following medical group(s):
  • HOSPITAL
    • EMORY JOHNS CREEK HOSPITAL
      6325 HOSPITAL PARKWAY
      JOHNS CREEK, GA 30097
    • EMORY UNIVERSITY HOSPITAL MIDTOWN
      550 PEACHTREE STREET, NE
      ATLANTA, GA 30308

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.