Prodigy Dialysis

Prodigy Dialysis is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnstown, PA, holding Type 2 (organization) NPI 1023065554 since 2006. The authorized official on file is George Frem, Ceo & President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1023065554
Entity type	Organization (Type 2)
Legal business name	Prodigy Dialysis
Practice address	1111 FRANKLIN ST, SUITE 220, Johnstown, PA, 15905
Phone	8145390798
Fax	8145364751
Enumeration date	2006-05-29
Last updated in NPPES	2020-08-22

Authorized official

Name	George Frem
Title	Ceo & President
Phone	8142489269

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Prodigy Dialysis
NPI: 1023065554
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 1111 FRANKLIN ST, SUITE 220, Johnstown, PA, 15905

Providers at this address

NPI	Name	Type	Specialty	Location
1437152188	Conemaugh Health Initiatives	Organization	Nephrology Physician	Johnstown, PA
1336142082	Conemaugh Health Initiatives	Organization	Obstetrics & Gynecology Physician	Johnstown, PA
1093718629	Conemaugh Health Initiatives	Organization	Neurological Surgery Physician	Johnstown, PA
1003810599	Gerard Garguilo	Individual	Surgery Physician	Johnstown, PA
1508860073	Nancy Fetzer	Individual	Women's Health Nurse Practitioner	Johnstown, PA
1710982178	Adib Khouzami	Individual	Maternal & Fetal Medicine Physician	Johnstown, PA
1942205000	Ikram U. Haque, MD, PC	Organization	Neurological Surgery Physician	Johnstown, PA
1184620619	Patricia Pajak	Individual	Advanced Practice Midwife	Johnstown, PA

Verify this record

Cross-check NPI 1023065554 against the authoritative CMS record: view Prodigy Dialysis on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Prodigy Dialysis located?

The practice location on file with NPPES is in Johnstown, PA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.