Dr Pravin Pratap, MD - Medicare Cardiovascular Disease (cardiology) in Mishawaka, IN

Dr Pravin Pratap, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Mishawaka, Indiana. He went to Rush Medical College Of Rush University and graduated in 2006 and has 18 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Saint Joseph Regional Medical Center Inc and his current practice location is 611 E Douglas Rd Ste 208, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-6700.

Dr Pravin Pratap is licensed to practice in Indiana (license number 01073197A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811105810.

Contact Information

Dr Pravin Pratap, MD
611 E Douglas Rd Ste 208,
Mishawaka, IN 46545-1465
(574) 335-6700
(574) 335-0726

Map and Direction




Physician's Profile

Full NameDr Pravin Pratap
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience18 Years
Location611 E Douglas Rd Ste 208, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pravin Pratap attended and graduated from Rush Medical College Of Rush University in 2006
  NPI Data:
  • NPI Number: 1811105810
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113181439
  • Enrollment ID: I20140116001531

Medical Identifiers

Medical identifiers for Dr Pravin Pratap such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811105810NPI-NPPES
201193900MedicaidIN
1101408456OtherINANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 57.011812 (Ohio)Secondary
207R00000XInternal Medicine 01073197 (Indiana)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 01073197A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Joseph Regional Medical Center Inc8325950843107

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pravin Pratap allows following entities to bill medicare on his behalf.
Entity NameSaint Joseph Regional Medical Center- Plymouth Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585187
PECOS PAC ID: 9537071337
Enrollment ID: O20031223000588
Entity NameSaint Joseph Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pravin Pratap is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pravin Pratap, MD
707 Cedar St Ste 405,
South Bend, IN 46617-2059

Ph: () -
Dr Pravin Pratap, MD
611 E Douglas Rd Ste 208,
Mishawaka, IN 46545-1465

Ph: (574) 335-6700

Reviews and Comments


Internal Medicine Doctors in Mishawaka, IN

Mini Sra,
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Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-2521    Fax: 574-335-2262
Rafat H Ansari, M.D.
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Dr. Elizabeth Marie Lauber, M.D.
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Margaret Ann Quate-operacz, M.D.
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Dr. Sayuri Cheruvu, M.B.,B.S
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Phone: 574-237-1328    Fax: 574-237-1348
Anandkumar M Koyani, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544
Phone: 574-256-0235    Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545
Phone: 574-204-7252    Fax: 574-968-0468

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.