OrganizationActive
Pra Medical Inc
NPI 1770613622 · Specialist · South Bend, IN
Provider details
- NPI number
- 1770613622
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Yupida Prasertwanitch, Owner(574) 273-6546
- License
- 01027483A (IN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 299-2450
Fax: (574) 273-6546
Street-level locationGet directions
Mailing address
Po Box 182
Mishawaka, IN 46546-0182
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.