OrganizationActive
Radhika Prakash, MD
NPI 1164810503 · Internal Medicine Physician · St. Augustine, FL
Provider details
- NPI number
- 1164810503
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Radhika Prakash, MD(904) 797-2338
- License
- ME0041524 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2758 US S 1 South
St. Augustine, FL 32086
Phone: (904) 797-2338
Fax: (904) 797-2331
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 860120
St Augustine, FL 32086-0120
Registry dates
- Enumerated
- 2015-01-08
- Last updated
- 2015-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.