Richard Krumdieck, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

9701019 Issued in NC

Practice address

170 Medical Park Road
Ste 101
Mooresville, NC 28117-8524

Phone

(704) 799-3946

Fax

(704) 799-3956

NPI assigned

May 27, 2005

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rkrumdieck98258@direct.novanthealth.org

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.

• Lake Norman Hematology and Oncology Specialists PA

  • Hematology & Oncology Physician
  • Mooresville, NC
  • NPI 1104854587
  Authorized official Same address or phone
• Lake Norman Hematology Oncology Specialists, PA

  • Specialist
  • Mooresville, NC
  • NPI 1376568378
  Authorized official Same address or phone
• Novant Medical Group, Inc.

  dba RoMedical Care

  • Orthopaedic Surgery Physician
  • Salisbury, NC
  • NPI 1851345375

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1063415669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178540",
            "telephone_number": "704-799-3946",
            "fax_number": "704-799-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK ROAD",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178524",
            "telephone_number": "704-799-3946",
            "fax_number": "704-799-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMDIECK",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "9701019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10907",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910907",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkrumdieck98258@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "170 medical park road",
            "address_2": "Ste 101",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281178524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Benjamin Konstandt, M.D.
• Christina Kontos
• Elizabeth L Kovach, CRNA
• Jenisa Kramer, FNP
• David Kruman, LCSW-A
• Kevin Kucko, PT
• Benjamin Kunesh, MD
• Adam Kurtz
• Christi Leigh Kurtz, LCMHC
• Deborah Anne Kurtz, LCAS-A

• Hematology & Oncology Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.