JOHN PRUITT
NPI 1245974310
Student in an Organized Health Care Education/Training Program in Austin, TX
About John Pruitt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PRUITT (NPI 1245974310) is an individual student in an organized health care education/training program in Austin, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Pruitt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78727
- Reassigned Medicare billing, Texas enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78727
AUSTIN, TX 78727
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 John Pruitt's NPI number?
The NPI number for John Pruitt is 1245974310. It was assigned to this individual provider in the NPPES registry on April 25, 2022.
Where is John Pruitt located?
John Pruitt practices at 12554 Riata Vista Cir, Austin, TX 78727. The listed phone number is (337) 502-6704.
What is John Pruitt's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Pruitt enrolled in Medicare?
Yes. John Pruitt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pruitt reassigns Medicare benefits to Austin Radiological Association (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Pruitt was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Pruitt · NPI 1245974310
Student in an Organized Health Care Education/Training Program provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 25, 2022.
## Identity
- **NPI:** 1245974310 (Entity type: Individual)
- **Enumerated:** April 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12554 RIATA VISTA CIR, Austin, TX 78727-6431
- **Phone:** (337) 502-6704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Austin Radiological Association (NPI 1033196464, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245974310) · Data from the CMS NPPES public registry.