Active NPI
Christopher Pratka, M.D.
- Anesthesiology Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K3629
- Practice address
- 1501 E Mockingbird LN
#101
Victoria, TX 77904-2155 - Phone
- (361) 513-6291
- Fax
- (361) 576-2434
- NPI assigned
- Oct 16, 2006
- Last updated
- Sep 7, 2016
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K3629 | TX | Primary |
Addresses
Primary practice location
1501 E Mockingbird LN
#101
Victoria, TX 77904-2155
Mailing address
1501 E Mockingbird LN
Ste 101
Victoria, TX 77904-2178
Phone (361) 573-6291
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046153501 | Medicaid | TX | |
| MDK3629 | Other | TX | WORKERS COMPENSATION |
| 742710179A028 | Other | TX | CHAMPUS |
| 87W156 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen's Medical Center County of Victoria | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
6404 Nursery Dr
Ste 300
Victoria, TX 77904
Phone (361) 570-8311
Organizations & group practices 3
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.
-
dba Citizens Medical Professional
- Multi-Specialty Clinic/Center
- Victoria, TX
- NPI 1205242088
Anesthesiology
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1861572711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN",
"address_2": "STE 101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042178",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN",
"address_2": "#101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042155",
"telephone_number": "361-513-6291",
"fax_number": "361-576-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATKA",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K3629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046153501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "MDK3629",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "742710179A028",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "87W156",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Post Acute Specialty Hospital of Victoria LLC (PAM Specialty Hospital of Victoria South)
- Brett Russell Potter, DMD
- Potts Speech Pathology Associates, P.C. (Meredith Potts, M.A., CCC-SLP)
- Meredith Potts, M.A., CCC-SLP
- Charlotte Anne Powell, LPC
- Gabrielle Wenske Pratka, M.S., CCC-SLP
- Premier Sleep LLC (Premier Sleep Disorders Center)
- Premier Sleep LLC
- Thomas Gary Pribyl, A.T.C.
- Lisa Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.