Active NPI
Keith W Pratz, M.D.
- Hematology & Oncology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD467231
- Practice address
- 3400 Civic Center Blvd
2 West
Philadelphia, PA 19104-5127 - Phone
- (215) 615-0063
- Fax
- (215) 349-8144
- NPI assigned
- Jan 13, 2006
- Last updated
- Sep 16, 2019
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D0064483 | MD | |
| Hematology & Oncology Physician | 207RH0003X | MD467231 | PA | Primary |
Addresses
Primary practice location
3400 Civic Center Blvd
2 West
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
2 West
Philadelphia, PA 19104-5127
Phone (215) 615-0063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130187000 | Medicaid | MN | |
| 417498400 | Medicaid | MD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical GroupNovacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 615-5858
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 615-5858
688 Downingtown Pike
West Chester, PA 19380-2226
Phone (484) 787-0200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064483 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Hematology & Oncology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Bih Radiologic Foundation Inc | Past | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients |
Locations
3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063
3400 Civic Center Blvd
#2W
Philadelphia, PA 19104
Phone (215) 614-1618
3400 Civic Center Blvd
#3
Philadelphia, PA 19104
Phone (215) 662-2891
3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104
3400 Civic Center Blvd
Fl 3W
Philadelphia, PA 19104
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Philadelphia, PA
- NPI 1053447151
-
- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1679677975
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1386751089
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- Body Imaging Physician
- Boston, MA
- NPI 1356377493
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Care at Home
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1710966114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "2 WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-615-0063",
"fax_number": "215-349-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "2 WEST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-615-0063",
"fax_number": "215-349-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATZ",
"first_name": "KEITH",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D0064483",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD467231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130187000",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417498400",
"state": "MD"
}
],
"endpoints": [],
"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 Sep 16, 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.