Active NPI
Richard T Tovar, M.D.
- Emergency Medicine Physician
- Beaver Dam, WI
National Provider Identifier
1437187341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 27102-020
- Practice address
- 707 S University Ave
Beaver Dam, WI 53916-3027 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-111341 | IL | |
| Emergency Medicine Physician | 207P00000X | 27102-020 | WI | Primary |
Addresses
Primary practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Mailing address
111 E Wisconsin Ave
Suite 2000
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00184924 | Other | IL | MEDICARE RAILROAD |
| 1437187341 | Medicaid | WI | |
| P00024624 | Other | WI | MEDICARE RAILROAD |
| 30712700 | Medicaid | WI | |
| 930118427 | Other | WI | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtovar99549@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-111341 | IL | MD | Emergency Medicine Physician |
| 27102-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| EMS Observation, S.C. | Emergency Medicine | Past | Accepting new patients |
| Ihc-Swedishamerican Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-Swedishamerican Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Ihc-St. Francis Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
-
- Internal Medicine Physician
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- NPI 1699720086
-
- Emergency Medicine Physician
- Franklin, WI
- NPI 1033858378
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1780632463
-
- Emergency Medicine Physician
- Belvidere, IL
- NPI 1093254179
-
- Emergency Medicine Physician
- Rockford, IL
- NPI 1093763302
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": "1640044800000",
"number": "1437187341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"address_2": "SUITE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY AVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163027",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOVAR",
"first_name": "RICHARD",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-111341",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "27102-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00184924",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437187341",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00024624",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30712700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930118427",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtovar99549@ewd.direct.hshs.org",
"affiliation": "N",
"endpointDescription": "CDA/CCD/TXT",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Superior Ave",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530811948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.