NPIMap

Individual provider Active NPI

Richard Denton Crane, M.D.

  • Internal Medicine Physician
  • Supply, NC
National Provider Identifier
1013096486
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700913 Issued in NC
Practice address
16 Medical Center Dr
Supply, NC 28462-3350
Phone
(910) 754-8921
Fax
(910) 754-7140
NPI assigned
Nov 4, 2006
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9700913 NC Primary

Addresses

Primary practice location

16 Medical Center Dr
Supply, NC 28462-3350

Mailing address

16 Medical Center Dr
Supply, NC 28462-3350
Phone (910) 754-8921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000476 NC Practitioner - Internal Medicine 4284822644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Medical Ctr Dr
Supply, NC 28462-3350
Phone (910) 754-8921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.45 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700913NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Community Hospital, LLC CurrentSince Sep 18, 2018 Accepting new patients
Atlantic Internal Medicine PA Internal Medicine CurrentSince Apr 17, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

16 Medical Center Dr
Supply, NC 28462
Phone (910) 754-8921

Interoperability endpoints

  • Direct secure messaging: rcrane201117@direct.novanthealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1013096486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623350",
            "telephone_number": "910-754-8921",
            "fax_number": "910-754-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623350",
            "telephone_number": "910-754-8921",
            "fax_number": "910-754-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "RICHARD",
        "middle_name": "DENTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.