Individual provider Active NPI

Prateek Kumar, MD

  • Neuroradiology Physician
  • Miami, FL
National Provider Identifier
1689133720
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME167374 Issued in FL
Practice address
9600 S Dixie Hwy Apt 1610
Miami, FL 33156-2898
Phone
(630) 901-7728
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X U5739 TX
Neuroradiology Physician 2085N0700X ME167374 FL Primary

Addresses

Primary practice location

9600 S Dixie Hwy Apt 1610
Miami, FL 33156-2898

Mailing address

9600 S Dixie Hwy Apt 1610
Miami, FL 33156-2898
Phone (630) 901-7728

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PRA03979@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240526000089 FL Practitioner - Interventional Radiology 8628308343 Reassigns benefits to 1 organization
I20260617004410 CA Practitioner - Interventional Radiology 8628308343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

225 N Jackson Ave
San Jose, CA 95116-1603

PO Box
Pasadena, CA 91189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5739TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Jul 1, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Baptist Health Medical Group Oncology LLC PastSince May 26, 2024 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

8950 N Kendall Dr
Ste 407W
Miami, FL 33176
Phone (305) 271-6159

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: pkumar18634@uihealth.direct-ci.com
  • Direct secure messaging: pra03979@cerner.directbaptisthealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1689133720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 S DIXIE HWY APT 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562898",
            "telephone_number": "630-901-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 S DIXIE HWY APT 1610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562898",
            "telephone_number": "630-901-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PRATEEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U5739",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME167374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRA03979@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8950 N Kendall Dr Ste 407W",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.