Jason Prostrollo, D.O.
NPI 1558659615 · Pediatrics Physician · Roseville, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Prostrollo, D.O. is a Pediatrics Physician provider in Roseville, MN (NPI 1558659615).
Provider details
- NPI number
- 1558659615
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 57872 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2011-07-11
- Last updated
- 2014-09-30
Frequently asked questions
- What is Jason Prostrollo's NPI number?
- Jason Prostrollo's National Provider Identifier (NPI) is 1558659615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Prostrollo's specialty?
- Jason Prostrollo is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jason Prostrollo located?
- Jason Prostrollo's practice location on file with NPPES is 1835 County Road C W, Roseville, MN 55113-1352.
- What is Jason Prostrollo's phone number?
- The practice phone number listed in the NPPES registry for Jason Prostrollo is (763) 785-4300.
- Does Jason Prostrollo accept Medicare?
- Jason Prostrollo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Prostrollo's NPI active?
- Yes — Jason Prostrollo's NPI (1558659615) is active in the NPPES registry as of the last update on 2014-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.