Active NPI
Ronald C Prati Jr., M.D.
- Diagnostic Radiology Physician
- Sebring, FL
National Provider Identifier
1194722157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME68801
- Practice address
- 4200 Sun N Lake Blvd
Sebring, FL 33872-1986 - Phone
- (863) 402-3447
- NPI assigned
- Jul 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME68801 | FL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME68801 | FL |
Addresses
Primary practice location
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Mailing address
4149 Sun N Lake Blvd.
Sebring, FL 33872
Phone (863) 314-0165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27453 | Other | FL | BCBS OF FLORIDA |
| 378665000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary LLC | Diagnostic Radiology | Past | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1003983610
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1194722157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4149 SUN N LAKE BLVD.",
"city": "SEBRING",
"state": "FL",
"postal_code": "33872",
"telephone_number": "863-314-0165",
"fax_number": "863-385-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721986",
"telephone_number": "863-402-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATI",
"first_name": "RONALD",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME68801",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME68801",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "27453",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378665000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.