Dr. Pratik Khatiwada
- Gender: Male
- Sole propriator: No
- NPI: 1073173241
Dr. Pratik Khatiwada MD
Resident
He is located at 1235 East Cherokee Street in Springfield, MO 65804. His National Provider Identifier (NPI) number is 1073173241. Appointment can be made via the phone number (417) 820-2600.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Pratik Khatiwada as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 26, 2026, as reported by the insurer.
Show all 10 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Catastrophic Pathway (+ Incentives) | EPO · Catastrophic | Participating | Accepting new patients |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO · Silver | Participating | Accepting new patients |
Medica
Network data as of Jul 13, 2026, as reported by the insurer.
Show all 9 plans from Medica
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Balance by Medica Bronze $0 Copay PCP Visits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Balance by Medica Bronze Premier | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Balance by Medica Expanded Bronze Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Balance by Medica Gold $0 Copay PCP Visits | EPO · Gold | Preferred | Accepting new patients |
| Balance by Medica Gold Share | EPO · Gold | Preferred | Accepting new patients |
| Balance by Medica Gold Standard | EPO · Gold | Preferred | Accepting new patients |
| Balance by Medica Silver $0 Copay PCP Visits | EPO · Silver | Preferred | Accepting new patients |
| Balance by Medica Silver Share | EPO · Silver | Preferred | Accepting new patients |
| Balance by Medica Silver Standard | EPO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Pratik Khatiwada is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Pratik Khatiwada is enrolled to bill Medicare as a Practitioner - Internal Medicine .
Bills through: Mercy Clinic Springfield Communities
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
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Questions & Answers
Does Dr. Pratik Khatiwada accept insurance?
Dr. Pratik Khatiwada is listed in-network for 19 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, Medica. See the Marketplace plans section for details.
Where can you meet with Dr. Pratik Khatiwada?
Dr. Pratik Khatiwada's office is located at 1235 East Cherokee Street in Springfield, MO 65804.