NPIMap

Individual provider Active NPI

Richard Ryan Menzel, DO

  • Diagnostic Radiology Physician
  • Clive, IA
National Provider Identifier
1225279136
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO-04692 Issued in IA
Practice address
12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Phone
(515) 961-0453
Fax
(515) 961-2714
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 258603 MA
Diagnostic Radiology Physician 2085R0202X DO-04692 IA Primary

Addresses

Primary practice location

12368 Stratford Dr
Suite 300
Clive, IA 50325-8162

Mailing address

12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Phone (515) 961-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150605002647 IA Practitioner - Diagnostic Radiology 6103057534 Reassigns benefits to 1 organization
I20181016003648 AK Practitioner - Diagnostic Radiology 6103057534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Radiology P C 37 clinicians

Practice addresses (Care Compare)

2208 W Lake Lucille Dr
Wasilla, AK 99654-7934
Phone (515) 226-9810

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
  • Audubon County Memorial Hospital Hospital, Audubon, IA, CCN 161330

Merit-based Incentive Payment System (MIPS)

Final score
71.72 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
58.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258603MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BTX Iowa Inc CurrentSince Sep 1, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmenzel260536@direct.unitypoint.org

Organizations & group practices 5

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 7

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1225279136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR",
            "address_2": "SUITE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258162",
            "telephone_number": "515-961-0453",
            "fax_number": "515-961-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR",
            "address_2": "SUITE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258162",
            "telephone_number": "515-961-0453",
            "fax_number": "515-961-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZEL",
        "first_name": "RICHARD",
        "middle_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "258603",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-04692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.