DR. MATOUS PRADNY (MD) – Internal Medicine Physician, NPI 1255535779
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
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Provider Addresses for DR. MATOUS PRADNY (MD)
Mishawaka Medical Center, 5215, Holy Cross Parkway, Mishawaka, Saint Joseph County, Indiana, 46545, United States
Mishawaka, IN 465451469
Phone: (574) 237-7111
Type: Location
810, Park Place, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465453520
Phone: (574) 472-6700
Type: Mailing
1234 NAPIER AVE
SAINT JOSEPH, MI 490852112
Phone: (269) 985-4632
Type: Mailing
31 N Saint Joseph Ave
Niles, MI 491202207
Phone: (269) 985-4632
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090804000254 | I | Hospitalist | IN | TBD |
| I20241216002177 | I | Internal Medicine | MI | TBD |
| I20250303001161 | I | Internal Medicine | VI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 719 | 643 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 46545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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