Richa Kauskik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RL10227 Issued in ND

Practice address

515 E Broadway Ave
Bismarck, ND 58501-4491

Phone

(701) 328-9956

Fax

(701) 328-9957

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1164601050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014491",
            "telephone_number": "701-328-9956",
            "fax_number": "701-328-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014491",
            "telephone_number": "701-328-9956",
            "fax_number": "701-328-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSKIK",
        "first_name": "RICHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL10227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Peter Kastner, MD
• Madison Kastrow
• Mustafa Kathawala, MD
• Kathryn a. Holzer, DDS, P.C.
• Scott Kaubisch
• April Marie Kautzman, MSN, CNM, WHNP-BC
• Delora A Kautzmann, PSY.S., NCSP
• Morgan Kautzmann, DNP, FNP-C
• Gaylord J Kavlie, MD
• Olutayo Kayode, SLP

• Family Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.