PRAYUK A. WARAN (MD) – Obstetrics & Gynecology Physician, NPI 1992819957

PRAYUK A. WARAN (MD) is a healthcare provider. based in Manteca, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 01041051A (IN). The NPI Number for PRAYUK A. WARAN (MD) is 1992819957

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PRAYUK A. WARAN (MD)
NPI
1992819957
Phone
(209) 823-7646
Address
1262 E NORTH ST
Enumeration Date
18 August 2006
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3869175000
Graduation Year
1989 (37 years ago)
PAC ID
2769586940
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20221104001201
Address ID
FL327638468OR1055XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

4,007 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for PRAYUK A. WARAN (MD)

  • 1262, East North Street, Manteca, San Joaquin County, California, 95336, United States

    MANTECA, CA 953364962

    Phone: (209) 823-7646

    Fax: (209) 824-5374

    Type: Mailing

  • 999 N STONE ST STE B

    DELAND, FL 327200800

    Phone: (386) 740-4017

    Fax: (386) 740-4017

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Davol Inc. ($125).

Total Amount

$164

General + Research + Ownership

Payments

2

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$125
Ethicon US, LLC$39
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221104001201IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes4242$0
99213Established patient office or other outpatient visit, 20-29 minutes3224$0
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2222$0
View full utilization report →

Insurance plans in this area (ZIP 95336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is there an official ID for PRAYUK A. WARAN (MD) in U.S. healthcare records?
The official identifier for PRAYUK A. WARAN (MD) is NPI 1992819957.
Is PRAYUK A. WARAN (MD) shown as active in public data?
Registry records indicate PRAYUK A. WARAN (MD) maintains an active NPI.
What clinical focus is listed for PRAYUK A. WARAN (MD)?
At a glance, PRAYUK A. WARAN (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is PRAYUK A. WARAN (MD) located near Manteca?
PRAYUK A. WARAN (MD) currently maps to Manteca, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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