Prodigy Dialysis
NPI 1902170525 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Carrolltown, PA
Prodigy Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Carrolltown, PA (NPI 1902170525).
Provider details
- NPI number
- 1902170525
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cory Yacynych, Practice Manager(814) 299-4676
- License
- MD042825E (PA)
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
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
- 2012-02-29
- Last updated
- 2012-09-25
Frequently asked questions
- What is Prodigy Dialysis's NPI number?
- Prodigy Dialysis's National Provider Identifier (NPI) is 1902170525, 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 387 Theatre Rd, Carrolltown, PA 15722-7805.
- What is Prodigy Dialysis's phone number?
- The practice phone number listed in the NPPES registry for Prodigy Dialysis is (814) 539-0798.
- Who is the authorized official for Prodigy Dialysis?
- The authorized official listed on Prodigy Dialysis's NPPES record is Cory Yacynych, Practice Manager. 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 (1902170525) is active in the NPPES registry as of the last update on 2012-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.