Individual provider Active NPI

Richard A Kushnick, MD

  • Anesthesiology Physician
  • Oakland Park, FL
National Provider Identifier
1144285974
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
102068-875 Issued in WI
Practice address
5757 N Dixie Hwy
C/O North Ridge Medical Center
Oakland Park, FL 33334-4135
Phone
(954) 776-6000
NPI assigned
Apr 17, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME46481 FL
Anesthesiology Physician 207L00000X 102068-875 WI Primary

Addresses

Primary practice location

5757 N Dixie Hwy
C/O North Ridge Medical Center
Oakland Park, FL 33334-4135

Mailing address

4631 NW 31St Ave
C/O Anesco Anesthesia Assoc
Fort Lauderdale, FL 33309-3433
Phone (954) 485-5666

Other identifiers 2

IdentifierTypeStateIssuer
1144285974MedicaidWI
048412100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081030000083 FL Practitioner - Anesthesiology 9335035526 Reassigns benefits to 5 organizations
I20241111002986 WI Practitioner - Anesthesiology 9335035526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46481FLMDAnesthesiology Physician
102068-875WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Rand Mdpa CurrentSince Apr 18, 2016 Accepting new patients
East Coast Anesthesia LLC Anesthesiology CurrentSince Oct 12, 2022 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Nov 4, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jun 2, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Sep 26, 2022 Accepting new patients
Minimally Invasive Surgicenter of Delray LLC Anesthesiology CurrentSince Dec 14, 2023 Accepting new patients
Millennium Anesthesia PA Anesthesiology Past Accepting new patients
Minimally Invasive Surgicenter LLC Past Accepting new patients
Anesco Anesthesia Associates, Inc. Anesthesiology Past Accepting new patients
Northridge Anesthesia Associates, LLC Anesthesiology PastSince Jul 11, 2011 Accepting new patients
Anesco Anesthesia Associates Inc Anesthesiology PastSince Sep 16, 1996 Accepting new patients
Anesco Central LLC Anesthesiology Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

5 W Sample Rd
Deerfield Beach, FL 33064
Phone (954) 782-1700

6646 Atlantic Ave
Ste 300
Delray Beach, FL 33446
Phone (973) 714-1154

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

9697 Saint Catherines Dr
Pleasant Prairie, WI 53158
Phone (262) 577-8141

10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: rkushnick838247@direct.froedtert.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1144285974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 NW 31ST AVE",
            "address_2": "C/O ANESCO ANESTHESIA ASSOC",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093433",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N DIXIE HWY",
            "address_2": "C/O NORTH RIDGE MEDICAL CENTER",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344135",
            "telephone_number": "954-776-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNICK",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME46481",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "102068-875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144285974",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048412100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.