Active NPI
Robert B. Bode, MD
- Internal Medicine Physician
- Richmond, IN
National Provider Identifier
1043220080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01036318A
- Practice address
- 1471 Chester Blvd Ste a
Richmond, IN 47374-1919 - Phone
- (765) 935-4088
- Fax
- (765) 966-2596
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01036318A | IN | Primary |
| Infectious Disease Physician | 207RI0200X | 01036318A | IN |
Addresses
Primary practice location
1471 Chester Blvd Ste a
Richmond, IN 47374-1919
Mailing address
1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-4088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000676852 | Other | IN | ANTHEM (RPA) |
| 200007930 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Hospital & Health Care Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- rbode301926@ecommunitydirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1043220080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-935-4088",
"fax_number": "765-966-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 CHESTER BLVD STE A",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741919",
"telephone_number": "765-935-4088",
"fax_number": "765-966-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODE",
"first_name": "ROBERT",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01036318A",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01036318A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM (RPA)",
"identifier": "000000676852",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200007930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.