Active NPI
Richard Pinney, MD
- Family Medicine Physician
- Bloomingdale, IL
National Provider Identifier
1215985528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36067978
- Practice address
- 303 E Army Trail Rd
Suite 300
Bloomingdale, IL 60108-2169 - Phone
- (630) 545-8300
- Fax
- (630) 980-9736
- NPI assigned
- May 5, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36067978 | IL | Primary |
Addresses
Primary practice location
303 E Army Trail Rd
Suite 300
Bloomingdale, IL 60108-2169
Mailing address
303 E Army Trail Rd
Suite 300
Bloomingdale, IL 60108-2169
Phone (630) 545-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067978 | Medicaid | IL | |
| 399980 | Other | GROUP MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | richard.pinney.1@380.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36067978 | IL | MD | Family Medicine Physician |
Interoperability endpoints
- richard.pinney.1@380.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1215985528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD",
"address_2": "SUITE 300",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082169",
"telephone_number": "630-545-8300",
"fax_number": "630-980-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD",
"address_2": "SUITE 300",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082169",
"telephone_number": "630-545-8300",
"fax_number": "630-980-9736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNEY",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "36067978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067978",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "399980",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "richard.pinney.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "303 E Army Trail Rd",
"address_2": "SUITE 300",
"city": "Bloomingdale",
"state": "IL",
"country_code": "US",
"postal_code": "601082169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.