Individual provider Active NPI

Richard A. Truesdale, M.D.

  • Gastroenterology Physician
  • The Villages, FL
National Provider Identifier
1376571117
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME47683 Issued in FL
Practice address
1400 N US Highway 441 Ste 531
The Villages, FL 32159-8985
Phone
(352) 751-4885
Fax
(352) 751-5371
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME47683 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 531
The Villages, FL 32159-8985

Mailing address

1901 SE 18TH Ave Ste 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Other identifiers 1

IdentifierTypeStateIssuer
057282900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastroocala@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100826000546 FL Practitioner - Gastroenterology 3274623129 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Ocala Inc Gastroenterology CurrentSince Dec 20, 1985 Accepting new patients

Locations

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

1400 N US Highway 441
Ste 531
The Villages, FL 32159
Phone (352) 504-3500

Organizations & group practices 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1376571117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE STE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718213",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 531",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598985",
            "telephone_number": "352-751-4885",
            "fax_number": "352-751-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUESDALE",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME47683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057282900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastroocala@directaddress.net",
            "affiliation": "N",
            "address_1": "1901 SE 18th Ave Ste 400",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344718213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.