Active NPI 1740290162 Individual Practitioner Male Practitioner

Dr. Kenneth H Prushik , MD

Pediatrics • Monroe, NC

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Prushik, MD is a registered healthcare professional specializing in Pediatrics in Monroe, NC. Practice services are available at 1994 WELLNESS BLVD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1994 Wellness Blvd Ste 110

Monroe, NC 281107768

Telephone 7043848460

Associated Practice Facility / Clinic

🏢 Novant Health Medical Group, Llc Facility NPI 1023062452

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Monroe, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.6 Yrs

Regional Practice Density

16 Specialists

Practicing in Monroe, NC (2422 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-31

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NC 2018-00935

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License NY 228253-1

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02461633 (NY)

Commercial Insurance / Payer ID Ghi

0600898 (NY)

Commercial Insurance / Payer ID Blue Cross/ Blue Shield

556Y51 (NY)

Commercial Insurance / Payer ID Healthnet

3C3318 (NY)

Commercial Insurance / Payer ID Oxford

P2939540 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Kelli Duncan , PA-C

Physician Assistant

NPI 1033174206

Physician Assistant (Certified)

Dr. Tiffany Ohta , MD

Pediatrics

NPI 1144398413

Doctor of Medicine (M.D.)

Dr. Susan Duncan-Butler , MD

Pediatrics

NPI 1184621534

Doctor of Medicine (M.D.)

Jennifer Deese , CPNP

Nurse Practitioner - Pediatrics

NPI 1346549854

Certified Pediatric Nurse Practitioner

Dr. Thomas Pittman , MD

Pediatrics

NPI 1366829012

Doctor of Medicine (M.D.)

Dr. Garnet Maharajh , MD

Pediatrics

NPI 1376532960

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Pediatrics (License #2018-00935 in NC)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Pediatrics (License #228253-1 in NY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Pediatrics (License #2018-00935 in NC)

📍

Updated Practice Location October 05, 2018

Registered at 1994 WELLNESS BLVD STE 110, MONROE, NC 281107768 (Tel: 7043848460)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2018

Pediatrics (License #228253-1 in NY)

📍

Updated Practice Location June 26, 2018

Registered at 241 E MAIN ST, HUNTINGTON, NY 11743 (Tel: 6313675300)

📍

Updated Business Mailing Address June 26, 2018

Registered at PO BOX 60447, CHARLOTTE, NC 282600447

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Pediatrics (License #2018-00935 in NC)

✅

NPI Profile Active July 02, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2008

Registered at 241 E MAIN ST, HUNTINGTON, NY 117432924 (Tel: 6313675300)

📍

Updated Business Mailing Address July 02, 2008

Registered at 241 E MAIN ST, HUNTINGTON, NY 117432924 (Tel: 6313675300)

👤

Provider Name / Credentials Updated July 02, 2008

Recorded as KENNETH PRUSHIK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2008

Pediatrics (License #228253-1 in NY)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740290162

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2006

Last Update: August 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 60447

Charlotte, NC 282600447

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.