Individual provider Active NPI

Richard E Parcinski, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Saint Peters, MO
National Provider Identifier
1295703072
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
100526 Issued in MO
Practice address
4200 N Cloverleaf Dr Ste G
Saint Peters, MO 63376-6436
Phone
(636) 936-1809
Fax
(636) 936-3655
NPI assigned
Mar 9, 2006
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 100526 MO
Sleep Medicine (Internal Medicine) Physician 207RS0012X 100526 MO Primary

Addresses

Primary practice location

4200 N Cloverleaf Dr Ste G
Saint Peters, MO 63376-6436

Mailing address

4200 N Cloverleaf Dr Ste G
Saint Peters, MO 63376-6436
Phone (636) 936-1809

Other identifiers 11

IdentifierTypeStateIssuer
349755800OtherMODEPART OF LABOR
PC 10813OtherMOCIGNA PROV #
174196OtherMOHEALTHLINK
3476OtherMOBC/BS SPECIALTY #
48-00227OtherMOUHC SPECIALTY # (227)
247768500MedicaidMO
290004262OtherMORR MEDICARE
037H1OtherMOBC/BS PROV ELECTRO NUMBER
04-00378OtherMOUHC PRIMARY CARE #
431682600633760000OtherMOCHAMPUS
P-65294144OtherMOMULTI-PLAN PROV NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080910000657 MO Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2860568151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Philadelphia College of Osteopathic Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4200 N Cloverleaf Dr
Suite G
Saint Peters, MO 63376-6436
Phone (636) 936-1809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100526MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simran Behavioral Health Past Accepting new patients
Kirpa LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.parcinski.1@10551.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1295703072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR STE G",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-936-1809",
            "fax_number": "636-936-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N CLOVERLEAF DR STE G",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766436",
            "telephone_number": "636-936-1809",
            "fax_number": "636-936-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARCINSKI",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "100526",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "100526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPART OF LABOR",
            "identifier": "349755800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "PC 10813",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "174196",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS SPECIALTY #",
            "identifier": "3476",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC SPECIALTY # (227)",
            "identifier": "48-00227",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247768500",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "290004262",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROV ELECTRO NUMBER",
            "identifier": "037H1",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PRIMARY CARE #",
            "identifier": "04-00378",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "431682600633760000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-PLAN PROV NUMBER",
            "identifier": "P-65294144",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.