Individual provider Active NPI

Mikaal Pratt

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
National Provider Identifier
1356082630
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4811 Germantown Ave # 304
Philadelphia, PA 19144-3014
Phone
(267) 693-6777
NPI assigned
Apr 2, 2022
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4811 Germantown Ave # 304
Philadelphia, PA 19144-3014

Mailing address

4811 Germantown Ave # 304
Philadelphia, PA 19144-3014
Phone (267) 693-6777

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hrm1@nassahgroupllc.net Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1356082630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 GERMANTOWN AVE # 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443014",
            "telephone_number": "267-693-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 GERMANTOWN AVE # 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443014",
            "telephone_number": "267-693-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MIKAAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hrm1@nassahgroupllc.net",
            "affiliation": "N",
            "endpointDescription": "secure URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4811 Germantown Ave # 304",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191443014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.