Individual provider Active NPI

Richard D. Deindoerfer, CRNA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
National Provider Identifier
1386789642
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9103 Issued in TN
Practice address
82 Patton Ave
Suite 510
Asheville, NC 28801-3319
Phone
(828) 398-5222
Fax
(828) 398-5223
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9103 TN Primary

Addresses

Primary practice location

82 Patton Ave
Suite 510
Asheville, NC 28801-3319

Mailing address

82 Patton Ave
Suite 510
Asheville, NC 28801-3319
Phone (828) 398-5222

Other identifiers 2

IdentifierTypeStateIssuer
3600382MedicaidTN
0095409OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000628 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426120841 Reassigns benefits to 2 organizations
Practice locations: Harriman, TN

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy AnesthesiaGroup PAC ID 7113272634, 8 clinicians

Practice addresses (Care Compare)

7739 Dannaher Dr
Powell, TN 37849-4049
Phone (423) 639-0941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2015 Accepting new patients

Locations

82 Patton Ave
Ste 510
Asheville, NC 28801
Phone (828) 210-9386

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

7739 Dannaher Dr
Powell, TN 37849
Phone (865) 339-4200

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1386789642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PATTON AVE",
            "address_2": "SUITE 510",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013319",
            "telephone_number": "828-398-5222",
            "fax_number": "828-398-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PATTON AVE",
            "address_2": "SUITE 510",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013319",
            "telephone_number": "828-398-5222",
            "fax_number": "828-398-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINDOERFER",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600382",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0095409",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.