Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wieslaw K. Prokop, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1144212879

Dr. Wieslaw K. Prokop, MD is an Anesthesiology in Bala Cynwyd, Pennsylvania. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Presidential Blvd Ste 100
Bala Cynwyd, PA 19004-1000
Phone: (610) 795-7366
Fax: (610) 664-4749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence MD419479 (PA)

Record details

NPI number1144212879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJune 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesINTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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