Active NPI
Richard Schellin, DO
- Diagnostic Radiology Physician
- Aledo, TX
National Provider Identifier
1326102591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DOG7582
- Practice address
- 3904 Lost Creek Blvd
Aledo, TX 76008-3656 - Phone
- (817) 244-0904
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DOG7582 | TX | Primary |
Addresses
Primary practice location
3904 Lost Creek Blvd
Aledo, TX 76008-3656
Mailing address
3904 Lost Creek Blvd
Aledo, TX 76008-3656
Phone (817) 244-0904
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00110017 | Other | TX | PALMETTO |
| 0089KJ | Other | TX | BCBS |
| 132273707 | Medicaid | TX | |
| 10029312 | Other | TX | AMERIGROUP |
| DOG7582 | Other | TX | LIC NUMBER |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOG7582 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nanette V Evans M.D., P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Weatherford Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Stephenville, TX
- NPI 1477735140
-
- Diagnostic Radiology Physician
- Weatherford, TX
- NPI 1831328582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1326102591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 LOST CREEK BLVD",
"city": "ALEDO",
"state": "TX",
"postal_code": "760083656",
"telephone_number": "817-244-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 LOST CREEK BLVD",
"city": "ALEDO",
"state": "TX",
"postal_code": "760083656",
"telephone_number": "817-244-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLIN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "DOG7582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "P00110017",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0089KJ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132273707",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10029312",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC NUMBER",
"identifier": "DOG7582",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.