Individual provider Active NPI

Richard D Andersen, D.O.

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1477531176
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34006648 Issued in OH
Practice address
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone
(330) 971-7436
Fax
(330) 971-7344
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34006648 OH Primary

Addresses

Primary practice location

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Mailing address

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7000

Other identifiers 1

IdentifierTypeStateIssuer
2087165MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001570 OH Practitioner - Emergency Medicine 6002802493 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ues Ahuja LLCGroup PAC ID 5496985467, 39 clinicians

Practice addresses (Care Compare)

1025 Ctr St
Ashland, OH 44805-4011
Phone (419) 289-0491

Hospital & facility affiliations

  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
85.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006648OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomerene Hospital CurrentSince Feb 18, 2017 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Dec 15, 2019 Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients
Falls Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

411 Devon Pl
Ste A
Kent, OH 44240
Phone (330) 677-7680

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: randersen38021@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations & group practices 9

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 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1477531176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7436",
            "fax_number": "330-971-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34006648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.