Individual provider Active NPI

Richard Frederick Zielinski, MD

  • Specialist
  • Watonga, OK
National Provider Identifier
1225065006
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18795 Issued in OK
Practice address
201 Sandy Ave
Watonga, OK 73772-7216
Phone
(405) 695-3134
Fax
(580) 623-4212
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 18795 OK
Specialist 174400000X 18795 OK Primary

Addresses

Primary practice location

201 Sandy Ave
Watonga, OK 73772-7216

Mailing address

201 Sandy Ave
Watonga, OK 73772-7216
Phone (405) 695-3134

Other identifiers 1

IdentifierTypeStateIssuer
100230910 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241010002370 PA Practitioner - Psychiatry 9931154671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CompassionatecarellcGroup PAC ID 0749727469, 3 clinicians

Practice addresses (Care Compare)

20 N Front St
Bally, PA 19503-9605
Phone (610) 624-5936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionatecarellc CurrentSince Jul 28, 2024 Accepting new patients
State of Oklahoma Past Accepting new patients
State of Oklahoma Past Accepting new patients
Lawtonka Counseling Services, Inc. Past Accepting new patients

Locations

20 N Front St
Bally, PA 19503
Phone (267) 461-8831

Interoperability endpoints

  • Direct secure messaging: richard.zielinski.1@28406.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1225065006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDY AVE",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737727216",
            "telephone_number": "405-695-3134",
            "fax_number": "580-623-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDY AVE",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737727216",
            "telephone_number": "405-695-3134",
            "fax_number": "580-623-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "RICHARD",
        "middle_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "OK",
            "license": "18795",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "18795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230910 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watonga, OK

Sources for this page

Verify at the official NPI Registry.