Individual provider Active NPI

Daila Melita Pravs, M.D.

  • Family Medicine Physician
  • Wyndmoor, PA
National Provider Identifier
1598980724
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD433546 Issued in PA
Practice address
8200 Flourtown Ave Ste 6
Wyndmoor, PA 19038-7969
Phone
(215) 233-6226
Fax
(215) 836-0300
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT186591 PA
Family Medicine Physician 207Q00000X MD433546 PA Primary

Addresses

Primary practice location

8200 Flourtown Ave Ste 6
Wyndmoor, PA 19038-7969

Mailing address

8200 Flourtown Ave Ste 6
Wyndmoor, PA 19038-7969
Phone (215) 233-6226

Other identifiers 2

IdentifierTypeStateIssuer
102598417 0002MedicaidPA
102598417 0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20080618000222 PA Practitioner - Family Practice 0345311486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi Wittels MD LLCGroup PAC ID 8325124761, 2 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Wyndmoor, PA 19038-7969
Phone (215) 233-6226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD433546PAMDFamily Medicine Physician
MT186591PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F. Mambu, MD PC PastSince May 21, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daila.pravs@direct.meditouchehr.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1598980724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE STE 6",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387969",
            "telephone_number": "215-233-6226",
            "fax_number": "215-836-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE STE 6",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387969",
            "telephone_number": "215-233-6226",
            "fax_number": "215-836-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVS",
        "first_name": "DAILA",
        "middle_name": "MELITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT186591",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD433546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102598417 0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102598417 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.