RONALD C PRATI JR. M.D.
NPI 1194722157
Radiology - Diagnostic Radiology in Sebring, FL
NPI Status: Active since July 06, 2005
Contact Information
4200 SUN N LAKE BLVD
SEBRING, FL
ZIP 33872
Phone: (863) 402-3447
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Medicare Quality Reporting
About RONALD PRATI
This page provides the complete NPI Profile along with additional information for Ronald Prati, a provider established in Sebring, Florida with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1194722157 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number ME68801 (FL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1194722157
- Provider Name
- RONALD C PRATI JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4200 SUN N LAKE BLVD SEBRING, FL 33872
- Location Phone
- (863) 402-3447
- Mailing Address
- 4149 SUN N LAKE BLVD. SEBRING, FL 33872
- Mailing Phone
- (863) 314-0165
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2005
- Last Update Date
- 09-09-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME68801
- License State
- FL
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | ME68801 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 378665000 | MEDICAID (05) | FL | |
| 27453 | OTHER (01) | FL | BCBS OF FLORIDA |
| E78879 | MEDICARE UPIN (02) | FL | |
| 27453V | MEDICARE PIN (08) | FL | |
| 27453Z | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
| Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 75% | 459 |
| Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available) | ||
| Use of QCDR data for ongoing practice assessment and improvements | Yes | N/A |
| Use of QCDR data, for ongoing practice assessment and improvements in patient safety. | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194722157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
SEBRING, FL 33872
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194722157, enumerated as an "individual" on July 06, 2005.
The provider is located at 4200 SUN N LAKE BLVD SEBRING, FL 33872 and the phone number is (863) 402-3447.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
