Ian Roger Prochaska, PA-C
Physician Assistant in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1649640293
StatusActive
Last updated in NPPESOct 20, 2022
Details
- NPI
- 1649640293
- Entity type
- Individual (NPI-1)
- Name
- Ian Roger Prochaska
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2015
- Certification date
- Oct 20, 2022
- Last updated
- Oct 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007518 | MI | Yes |
| 363AM0700X | Physician Assistant, Medical | 5601007518 | MI |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-6666
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
Other practice locations
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Grand Blanc, MI 48439-8065
Phone 810-606-5000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Ann Arbor, MI
- Sarah Elizabeth Abdella, PA-CNPI 1457719171
- Erin Elizabeth Ackert, PA-CNPI 1821458597
- Crystal G Addison, PANPI 1235689100
- Elizabeth Olubunmi Adeniyi-Kassim, PA-CNPI 1346971744
- Jinane Hassan Ahmad, PA-CNPI 1710649512
- Jonathan Curtis Albers, PA-CNPI 1588143101
- Jennifer Lynn Aldea, PA-CNPI 1538517032
- Ashley Marie Aldridge, PA-CNPI 1154630762
- Breann Alyssa Allen, PA-CNPI 1730720939
- Lauren Elizabeth Allen, PA-CNPI 1295425262
All 616 Physician Assistant providers in Ann Arbor · All 17,406 providers in Ann Arbor
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.