Individual provider Active NPI

Richard M. Wolkowitz, MD

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MO
National Provider Identifier
1477547461
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
108975 Issued in MO
Practice address
305 N Keene St
Suite 105
Columbia, MO 65201-6897
Phone
(573) 442-2299
Fax
(573) 442-1409
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 108975 MO Primary

Addresses

Primary practice location

305 N Keene St
Suite 105
Columbia, MO 65201-6897

Mailing address

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2000

Other identifiers 1

IdentifierTypeStateIssuer
208000224MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address painmanagement@HRRMCMedicalClinics.ssdirect.aprima.com SALIDA HOSPITAL DISTRICT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040709000169 MO Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 3375521123 Reassigns benefits to 2 organizations
I20191231000253 CO Practitioner - Pain Management 3375521123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Missouri, Columbia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

28374 County Rd
Suite 317
Buena Vista, CO 81211-9158
Phone (719) 395-9048

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Salida Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Scotland County Memorial Hospital CurrentSince Sep 30, 2017 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Salida Hospital District Current Accepting new patients
Scotland County Memorial Hospital CurrentSince Sep 30, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mid-Missouri Anesthesia Consultants PC Pain Medicine Past Accepting new patients

Locations

28374 County Road 317
Buena Vista, CO 81211
Phone (719) 395-9048

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

Interoperability endpoints

  • Direct secure messaging: columbiainterventionalpain.richardmwolkowitz@128096.advancedmd-direct.com

Organizations & group practices 10

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1477547461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "SUITE 105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-442-2299",
            "fax_number": "573-442-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOWITZ",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "108975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208000224",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "painmanagement@HRRMCMedicalClinics.ssdirect.aprima.com",
            "affiliation": "Y",
            "affiliationName": "SALIDA HOSPITAL DISTRICT",
            "address_1": "550 W US Highway 50",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812012238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.