Active NPI
Robert S Pratt, MD
- Family Medicine Physician
- Willow Street, PA
National Provider Identifier
1700828951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD021437E
- Practice address
- 2605 Willow Street Pike N
Willow Street, PA 17584-9510 - Phone
- (717) 464-2838
- Fax
- (717) 464-3812
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD021437E | PA | Primary |
Addresses
Primary practice location
2605 Willow Street Pike N
Willow Street, PA 17584-9510
Mailing address
2605 Willow Street Pike N
Willow Street, PA 17584-9510
Phone (717) 464-2838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000799173 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100201000121 | PA | Practitioner - Family Practice | 3577606458 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Practice addresses (Care Compare)
2605 Willow St Pike
Penn State Med GRP South Lancaster
Willow Street, PA 17584-9510
Phone (717) 464-2838
Hospital & facility affiliations
- Caring Hospice Services
- Choices Healthcare
- Lancaster General Hospital
- Upmc Lititz
- Glen at Willow Valley
- Lakeside at Willow Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Lancaster Hma Physician Management, LLC | Family Medicine | Past | Accepting new patients |
| Penn State Health Medical Group, LLC | Past | Accepting new patients |
Locations
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
6 W Newport Rd
Lititz, PA 17543
Phone (717) 581-5255
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.
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- NPI 1861988644
PA
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- Harrisburg, PA
- NPI 1457824013
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1932272341
Family Medicine
-
- Pulmonary Disease Physician
- Lemoyne, PA
- NPI 1801433149
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Lancaster, PA
- NPI 1447568381
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1700828951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 WILLOW STREET PIKE N",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849510",
"telephone_number": "717-464-2838",
"fax_number": "717-464-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 WILLOW STREET PIKE N",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849510",
"telephone_number": "717-464-2838",
"fax_number": "717-464-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD021437E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000799173",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.