NPIMap

Individual provider Active NPI

John Mark Prater, MD

  • Family Medicine Physician
  • Dallas, PA
National Provider Identifier
1992889885
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039516E Issued in PA
Practice address
114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Phone
(570) 675-2000
Fax
(570) 675-1806
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039516E PA Primary

Addresses

Primary practice location

114 LT Michael Cleary Dr
Dallas, PA 18612-1649

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
001109857MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jprater112994@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000458 PA Practitioner - Family Practice 3072792886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
H2 Health and Rehabilitation Services LLCGroup PAC ID 3678880234, 41 clinicians

Practice addresses (Care Compare)

42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880

506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366

Hospital & facility affiliations

  • Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
  • Bayada Home Health Care, Inc. Home health agency, Wilkes Barre, PA, CCN 397675
  • Aveanna Home Health Home health agency, West Pittston, PA, CCN 398067
  • Geisinger Home Health Home health agency, Danville, PA, CCN 397718
  • Hospice of the Sacred Heart Hospice, Moosic, PA, CCN 391656
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Health Center CurrentSince Jan 11, 2020 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Caring Community Health Center CurrentSince Jan 11, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Dec 31, 2013 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Dec 31, 2013 Accepting new patients
Caring Community Health Center Current Accepting new patients
Geisinger Clinic Past Accepting new patients
John M. Prater Family Medicine PastSince Dec 14, 1987 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

100 N Academy Ave
Danville, PA 17822

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

4004 Birney Ave
Moosic, PA 18507
Phone (570) 344-4711

12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: jprater112994@direct.geisinger.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 66

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1992889885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LT MICHAEL CLEARY DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121649",
            "telephone_number": "570-675-2000",
            "fax_number": "570-675-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039516E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001109857",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jprater112994@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "114 Lt Michael Cleary Dr",
            "city": "Dallas",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186121649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.