Active NPI
Prayuk A. Waran, MD
- Obstetrics & Gynecology Physician
- Deland, FL
National Provider Identifier
1992819957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME155251
- Practice address
- 999 N Stone St Ste B
Deland, FL 32720-0800 - Phone
- (386) 740-4017
- Fax
- (386) 740-4017
- NPI assigned
- Aug 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01041051A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | G130667 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | ME155251 | FL | Primary |
Addresses
Primary practice location
999 N Stone St Ste B
Deland, FL 32720-0800
Mailing address
999 N Stone St Ste B
Deland, FL 32720-0800
Phone (386) 740-4017
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000080492 | Other | IN | ANTHEM |
| 100385540 | Medicaid | IN | |
| 000000721936 | Other | IN | ANTHEM TRADITIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20221104001201 | FL | Practitioner - Obstetrics/Gynecology | 2769586940 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
Hospital & facility affiliations
- Adventhealth Deland
- Adventhealth Fish Memorial
- Adventhealth Orlando
- Adventhealth Daytona Beach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01041051A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1431 Orange Camp Rd
Ste 118119
Deland, FL 32724
Phone (386) 943-3234
999 N Stone St
Ste B
Deland, FL 32720
Phone (386) 740-4015
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- pwaran992125@adventhealth.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
FL
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
FL, Obstetrics & Gynecology
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
Hospital
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1992819957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N STONE ST STE B",
"city": "DELAND",
"state": "FL",
"postal_code": "327200800",
"telephone_number": "386-740-4017",
"fax_number": "386-740-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N STONE ST STE B",
"city": "DELAND",
"state": "FL",
"postal_code": "327200800",
"telephone_number": "386-740-4017",
"fax_number": "386-740-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARAN",
"first_name": "PRAYUK",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01041051A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G130667",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME155251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000080492",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100385540",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM TRADITIONAL",
"identifier": "000000721936",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.