Active NPI
Richard C Cardillo, MD
- Pulmonary Disease Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01046147A
- Practice address
- 8050 Township Line Rd
Indianapolis, IN 46260-2478 - Phone
- (317) 415-8500
- NPI assigned
- Mar 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01046147A | IN | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01046147A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 01046147A | IN | Primary |
Addresses
Primary practice location
8050 Township Line Rd
Indianapolis, IN 46260-2478
Mailing address
250 W 96TH St # 520
Indianapolis, IN 46260-1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210119002260 | MI | Practitioner - Pulmonary Disease | 1153233689 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Northern Michigan
Practice addresses (Care Compare)
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000
Hospital & facility affiliations
- McLaren Northern Michigan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Past | Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
MI
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Rehabilitation Hospital Unit
- Petoskey, MI
- NPI 1942370754
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Hospital & facility affiliations 2
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": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1477520807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 96TH ST # 520",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602478",
"telephone_number": "317-415-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDILLO",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01046147A",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01046147A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01046147A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.