Individual provider Active NPI

Kevin Rice, M.D.

  • Diagnostic Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1467418327
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A53057 Issued in CA
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 334-6071
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A53057 CA Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, MO, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040205000748 CA Practitioner - Diagnostic Radiology 7517850258 Reassigns benefits to 2 organizations
I20220621002800 IL Practitioner - Diagnostic Radiology 7517850258 Reassigns benefits to 1 organization
I20220812002104 MO Practitioner - Diagnostic Radiology 7517850258 Reassigns benefits to 3 organizations
I20230705000781 KY Practitioner - Diagnostic Radiology 7517850258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Manitoba, Faculty of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

10776 Rochester Ave
Los Angeles, CA 90024-5037
Phone (573) 335-6671

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5543

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53057CAMDPeriodontist
A53057CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Mercy Hospital Perry Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients

Locations

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

11811 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 231-9292

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

70 Doctors Park
Cpe Girardeau, MO 63703

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1467418327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A53057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.