Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Pratik Khatiwada, MD

Individual provider Internal Medicine Physician · NPI 1073173241

Dr. Pratik Khatiwada, MD is an Internal Medicine in Springfield, Missouri. Qualified in 2016, 10 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Missouri.

Years since qualifying
10
Licensed in
FL, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 — (954) 436-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2022026494 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence TRN29501 (FL)

Record details

NPI number1073173241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESJuly 14, 2022
Certification dateOctober 11, 2021
Mailing address1235 E Cherokee St, Springfield, MO 65804-2203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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