Prodigy Dialysis
NPI 1417191404 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Meyersdale, PA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prodigy Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Meyersdale, PA (NPI 1417191404).
Provider details
- NPI number
- 1417191404
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- George Frem, Ceo/Medical Director(814) 539-0798
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2014-01-10
Frequently asked questions
- What is Prodigy Dialysis's NPI number?
- Prodigy Dialysis's National Provider Identifier (NPI) is 1417191404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodigy Dialysis?
- Prodigy Dialysis is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prodigy Dialysis located?
- Prodigy Dialysis's practice location on file with NPPES is 25 Center St, Meyersdale, PA 15552-1101.
- What is Prodigy Dialysis's phone number?
- The practice phone number listed in the NPPES registry for Prodigy Dialysis is (814) 634-7032.
- Does Prodigy Dialysis accept Medicare?
- Prodigy Dialysis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prodigy Dialysis?
- The authorized official listed on Prodigy Dialysis's NPPES record is George Frem, Ceo/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodigy Dialysis's NPI active?
- Yes — Prodigy Dialysis's NPI (1417191404) is active in the NPPES registry as of the last update on 2014-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.