Matous Pradny, MD
NPI 1255535779 · Internal Medicine Physician · Saint Joseph, MI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matous Pradny, MD is a Internal Medicine Physician provider in Saint Joseph, MI (NPI 1255535779).
Provider details
- NPI number
- 1255535779
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301088348 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
472 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 444 | $159 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 28 | $120 |
Typical Medicare-allowed amounts for these services range $120–$159 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 5215 Holy Cross ParkwayMishawaka, IN 46545-1469Phone: (574) 237-7111
- 31 N Saint Joseph AveNiles, MI 49120-2207Phone: (269) 985-4632
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Frequently asked questions
- What is Matous Pradny's NPI number?
- Matous Pradny's National Provider Identifier (NPI) is 1255535779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matous Pradny's specialty?
- Matous Pradny is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matous Pradny located?
- Matous Pradny's practice location on file with NPPES is 1234 Napier Ave, Saint Joseph, MI 49085-2112.
- What is Matous Pradny's phone number?
- The practice phone number listed in the NPPES registry for Matous Pradny is (269) 985-4632.
- Does Matous Pradny accept Medicare?
- Matous Pradny is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matous Pradny's NPI active?
- Yes — Matous Pradny's NPI (1255535779) is active in the NPPES registry as of the last update on 2025-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.