Active NPI
Richard Francis Gaeke, MD FACP
- Gastroenterology Physician
- Middletown, OH
National Provider Identifier
1174537682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35037374G
- Practice address
- 42 North Breiel Blvd
Middletown, OH 45042-3804 - Phone
- (513) 422-0024
- Fax
- (513) 422-0232
- NPI assigned
- Jul 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35037374G | OH | Primary |
Addresses
Primary practice location
42 North Breiel Blvd
Middletown, OH 45042-3804
Mailing address
42 North Breiel Blvd
Middletown, OH 45042-3804
Phone (513) 422-0024
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9932791 | Other | OH | MEDICARE GROUP |
| 0428433 | Medicaid | OH | |
| 0815621 | Medicaid | OH | |
| 000000015648 | Other | ANTHEM | |
| 641304 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Chicago, Pritzker School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
42 N Breiel Blvd
Middletown, OH 45042-3804
Phone (513) 422-0024
Hospital & facility affiliations
- Atrium Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 64 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35037374G | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Middletown Inc | Gastroenterology | Current | Accepting new patients |
Locations
42 N Breiel Blvd
Middletown, OH 45042
Phone (513) 422-0024
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.
-
- Gastroenterology Physician
- Middletown, OH
- NPI 1063528438
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1174537682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 NORTH BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423804",
"telephone_number": "513-422-0024",
"fax_number": "513-422-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 NORTH BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423804",
"telephone_number": "513-422-0024",
"fax_number": "513-422-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAEKE",
"first_name": "RICHARD",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35037374G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "9932791",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428433",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0815621",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000015648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "641304",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.