Active NPI
Richard Scuderi, M.D.
- Hospitalist Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01077039A
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4000
- Fax
- (765) 502-4709
- NPI assigned
- May 7, 2013
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 01077039A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 01077039A | IN | |
| Internal Medicine Physician | 207R00000X | 036.146123 | IL | |
| Hospitalist Physician | 208M00000X | 036.146123 | IL |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-5811
Other practice location 2
8733 W 400 N
Michigan City, IN 46360-9330
Phone (219) 803-4145
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rscuderi574044@Direct.FranciscanAlliance.org | Direct | |
| Direct Messaging Address | rscuderi346545@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4000
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146123 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospitalist Physicians, LLP | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Northwest Hospitalist Physicians LLP | Hospitalist | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Temecula Valley Hospitalist Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
8733 W 400 N
Michigan City, IN 46360
Phone (219) 879-0330
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- rscuderi574044@direct.franciscanalliance.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Internal Medicine
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1023448321
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Hospitalist Physician
- La Porte, IN
- NPI 1326415423
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1265874135
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1376988162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "765-502-4000",
"fax_number": "765-502-4709"
}
],
"practiceLocations": [
{
"address_1": "1800 E Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213810",
"country_code": "US",
"telephone_number": "217-464-5811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8733 W 400 N",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463609330",
"country_code": "US",
"telephone_number": "219-803-4145",
"fax_number": "855-502-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCUDERI",
"first_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2023-05-22",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01077039A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01077039A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.146123",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036.146123",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rscuderi574044@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 S Creasy Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479054972",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rscuderi346545@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1800 E Lake Shore Dr",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625213810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.