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PRATT INTERNAL MEDICINE GROUP PA
NPI 1174570386
Clinic/Center - Rural Health in Pratt, KS

Active since May 31, 2006CLIA 17D0880920 · Waiver
420 COUNTRY CLUB RD, PRATT, KS 67124(620) 672-7415(620) 672-7414 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pratt Internal Medicine Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRATT INTERNAL MEDICINE GROUP PA (NPI 1174570386) is a healthcare organization registered as a rural health in Pratt, Kansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Daniel J Suiter, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1174570386
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRATT INTERNAL MEDICINE GROUP PA
Location Address420 COUNTRY CLUB RDPratt, KS 67124-3125
Mailing Address420 Country Club RdPratt, KS 67124-3125 · (620) 672-7415 · Fax (620) 672-7414
Phone(620) 672-7415
Fax(620) 672-7414
Organization SubpartNo
Authorized OfficialDaniel J SuiterPresident Of Corporation · (620) 672-7415
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1174570386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
420 COUNTRY CLUB RD, Pratt, KS 67124
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Other Identifiers 4

Medicare OSCAR/certification173877
Other000811KS · Rural Health Blue Cross
Medicaid100088840BKS
Medicare ID-Type Unspecified173877KS · Rural Health Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0880920

Pratt Internal Medicine Group · Pratt, KS
Active · expires Dec 29, 2027
CLIA Number17D0880920
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJassper Paulin
Laboratory Phone(620) 672-7411
Laboratory LocationPratt Internal Medicine Group420 Country Club Road, Pratt, KS 67124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL D HAUSER MD
Internal Medicine
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7415
BRETT AUSTIN WEINBRENNER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7415
BRITTNEY JOHNSON PHARMD
Pharmacist
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7447
PRATT PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7447
CALVIN L KRUGER II P.A.
Physician Assistant
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7415
MORFORD ENTERPRISES INC
Pharmacy (Community/Retail Pharmacy)
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7447
KIM RENEE TALSMA RPH
Pharmacist
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7447
DR. DANIEL J SUITER M.D.
Internal Medicine (Gastroenterology)
420 COUNTRY CLUB RD
PRATT, KS 67124
Pratt County (620) 672-7415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pratt Internal Medicine Group PA's NPI number?

The NPI number for Pratt Internal Medicine Group PA is 1174570386. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Pratt Internal Medicine Group PA located?

Pratt Internal Medicine Group PA is located at 420 Country Club Rd, Pratt, KS 67124. The listed phone number is (620) 672-7415.

What is Pratt Internal Medicine Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pratt Internal Medicine Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0880920) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pratt Internal Medicine Group PA was last updated on February 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.