NPIMap

Individual provider Active NPI

Richard B. Sielski, M.D,

  • Family Medicine Physician
  • Lancaster, OH
National Provider Identifier
1023080298
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH053851 Issued in OH
Practice address
2405 N Columbus St
Suite 200
Lancaster, OH 43130-8185
Phone
(740) 687-0303
Fax
(740) 687-5898
NPI assigned
Feb 2, 2006
Last updated
Dec 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH053851 OH Primary

Addresses

Primary practice location

2405 N Columbus St
Suite 200
Lancaster, OH 43130-8185

Mailing address

2405 N Columbus St
Suite 200
Lancaster, OH 43130-8185
Phone (740) 687-0303

Other identifiers 1

IdentifierTypeStateIssuer
0699696MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100526000524 OH Practitioner - Family Practice 8729117999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor View Family Medicine Inc.Group PAC ID 1052214251, 3 clinicians

Practice addresses (Care Compare)

1941 W Fair Ave
Lancaster, OH 43130-9671
Phone (740) 689-3627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH053851OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor View Family Medicine, Inc. CurrentSince Apr 10, 1997 Accepting new patients
Fairfield Gardens Rehabilitation and Care Center LLC Past Accepting new patients
Kimes Nursing and Rehab, LLC Past Accepting new patients
Kimes Convalescent Center, LTD Past Accepting new patients
Fairfield Medical Center Past Accepting new patients
Embassy Logan, LLC Past Accepting new patients

Locations

1941 W Fair Ave
Lancaster, OH 43130
Phone (740) 277-6050

2405 N Columbus St
Ste 200
Lancaster, OH 43130
Phone (740) 689-3627

7820 Pleasantville Rd NE
Thornville, OH 43076
Phone (740) 536-7381

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
HW & CoAthens, OH, CCN 361668 Hospice Operational/Managerial Control (50%) Sep 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1023080298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308185",
            "telephone_number": "740-687-0303",
            "fax_number": "740-687-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N COLUMBUS ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308185",
            "telephone_number": "740-687-0303",
            "fax_number": "740-687-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIELSKI",
        "first_name": "RICHARD",
        "middle_name": "B.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH053851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.