Richard Tae Bach, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Concord, NC
NPI 1386744167 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1386744167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 2018-01712 (NC)
- Practice address
- 487 Lake Concord Rd NE
Concord, NC 28025-2934 - Phone
- (704) 403-0300
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Medical Center
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Carolinas Medical Center/Behav Health
- Carolinas Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100414000376 | NJ | Practitioner - Physical Medicine and Rehabilitation | 6901794858 | Reassigns benefits to 1 organization |
| I20191002001822 | NC | Practitioner - Physical Medicine and Rehabilitation | 6901794858 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-01712 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlantic Pain and Rehab Associates, LLC | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Center for Advanced Pain Management and Wellness, LLC | Past |
Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
275 Beatty Dr
Belmont, NC 28012
Phone (704) 355-9330
10660 Park Rd
Ste 3200
Charlotte, NC 28210
Phone (704) 667-2500
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1100 Blythe Blvd
Charlotte, NC 28203
Phone (704) 355-4300
10648 Park Rd
Charlotte, NC 28210
Phone (704) 355-9330
487 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 403-0100
560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500
799 Bloomfield Ave
Ste 212
Verona, NJ 07044
Phone (908) 754-4900
799 Bloomfield Ave
Ste 303
Verona, NJ 07044
Phone (973) 857-7800
Interoperability endpoints
- rbach387406@carolinashealthcaresystem.direct-ci.com
- rbach191565@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2018-01712 | NC | Yes |
Addresses
Primary practice location
487 Lake Concord Rd NE
Concord, NC 28025-2934
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10660 Park Rd
Ste 3200
Charlotte, NC 28210-8413
Phone (704) 667-5695
Other practice location 2
275 Beatty Dr
Belmont, NC 28012-2715
Phone (704) 355-9330
Other practice location 3
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 355-9330
Other practice location 4
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-9330
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | rbach387406@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Other providers in Concord, NC
- Rahel Admassu Ayalew
- Azora Healthcare Services
- B Hill and Associates PLLC
- Neethu Ann Babu
- Taslima Elisha Bacchus
- Malick Valery Bachabi
- Jillian Ashleigh Bacon
- Jamie Kennedy Badger
- Paola Badilla Ruiz
- Hollie Bahen
All providers in Concord, NC · Physical Medicine & Rehabilitation Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.