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MR. KEVIN J. PRATER PA-C NPI 1194706176


NPI Information

NPI: 1194706176
Provider Name: MR. KEVIN J. PRATER, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
105 VALLEY WEST DR
SUITE 100
WEST DES MOINES, IA
ZIP 50265
Phone: (515) 223-4368
Get Directions

MR. Kevin J. Prater, PA-C is a physician assistant in West Des Moines, IA with 12 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Kevin J. Prater, PA-C NPI is 1194706176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

105 VALLEY WEST DR
SUITE 100
WEST DES MOINES, IA
ZIP 50265-902
Phone: (515) 223-4368
Fax: (515) 453-2368

The NPI 1194706176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of ear and nose (HCPCS:92504)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)

The enumeration date for this NPI number is 11/8/2005 and was last updated on 6/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgical001453IOWANo
2363A00000XPhysician Assistant001453IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IB2609013OTHERIOWAMEDICARE PTAN
2IB2608010OTHERIOWAMEDICARE PTAN
3IB2610005OTHERIOWAMEDICARE PTAN
4IB2878003OTHERIOWAMEDICARE PTAN
5Q15718MEDICARE UPINIOWA
6I12499MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.