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

Johanes I. Prawira, MD

Individual provider Family Medicine Physician · NPI 1932337706

Johanes I. Prawira, MD is a Hospitalist in Bismarck, North Dakota. Qualified in 2004, 22 years ago. Practices with Sanford Bismarck, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
22
Licensed in
MN, ND
In the registry since
2009
Specialties on file
3
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

300 N 7th St
Bismarck, ND 58501-4439
Phone: (701) 323-6000
Fax: (701) 323-6719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 — (953) 993-5000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 12013 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence 61703 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12013 (ND)

Record details

NPI number1932337706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2009
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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