Individual provider Active NPI

Richard Haering, DO

  • Emergency Medicine Physician
  • Gardnerville, NV
National Provider Identifier
1194784397
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
800 Issued in NV
Practice address
1879 Crockett LN
Gardnerville, NV 89410-6192
Phone
(775) 750-8388
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 800 NV
Emergency Medicine Physician 207P00000X 800 NV Primary

Addresses

Primary practice location

1879 Crockett LN
Gardnerville, NV 89410-6192

Mailing address

1879 Crockett LN
Gardnerville, NV 89410-6192
Phone (775) 750-8388

Other identifiers 2

IdentifierTypeStateIssuer
201660005MedicaidNV
002016852MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001645 NV Practitioner - Emergency Medicine 4385638139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Nevada Medical Services Koury and Partners PCGroup PAC ID 2163968603, 64 clinicians

Practice addresses (Care Compare)

880 Alder Ave
Incline Village, NV 89451-8335
Phone (775) 833-4100

Hospital & facility affiliations

  • Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
800NVMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pershing General Hospital CurrentSince May 1, 2025 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Pershing General Hospital CurrentSince Jun 12, 2025 Accepting new patients
Pershing General Hospital CurrentSince May 1, 2025 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

880 Alder Ave
Incline Vlg, NV 89451
Phone (775) 831-6200

Organizations & group practices 6

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.

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1194784397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 CROCKETT LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894106192",
            "telephone_number": "775-750-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 CROCKETT LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894106192",
            "telephone_number": "775-750-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERING",
        "first_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201660005",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016852",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.