Richard Allen Prazak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME30806 Issued in FL

Practice address

1615 Pasadena Ave S
Ste 430
St Petersburg, FL 33707

Phone

(727) 347-3151

Fax

(727) 347-0006

NPI assigned

Aug 29, 2006

Last updated

Jan 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1073621843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "address_2": "STE 430",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-347-3151",
            "fax_number": "727-347-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S",
            "address_2": "STE 430",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-347-3151",
            "fax_number": "727-347-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAZAK",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME30806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068717100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "79151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Pratt, LCSW
• Stacy Pratt, ARNP FNP-C
• Prawer Medical Group
• Adam J Prawer, MD
• Catherine Marie Prawer, NP
• Nickolas Adrian Preciado, DPT
• Precident Florida PLLC
• Precision Health Solutions, LLC
• Precision Pulmonary, LLC
• Preferred Injury Physicians of St. Petersburg

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.