Active NPI
Richard M. Wolkowitz, MD
- Pain Medicine (Anesthesiology) Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 108975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208000224 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | painmanagement@HRRMCMedicalClinics.ssdirect.aprima.com | SALIDA HOSPITAL DISTRICT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 District
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salida Hospital District | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current | 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
- 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.
-
- Critical Access Hospital
- Memphis, MO
- NPI 1083624647
-
- Rural Health Clinic/Center
- Memphis, MO
- NPI 1205844982
-
- Critical Access Hospital
- Salida, CO
- NPI 1730258971
-
- Internal Medicine Physician
- Salida, CO
- NPI 1972778272
-
- Family Medicine Physician
- Edina, MO
- NPI 1568092732
-
- Family Medicine Physician
- Memphis, MO
- NPI 1578761060
-
- Rural Health Clinic/Center
- Salida, CO
- NPI 1023663879
-
- Rural Health Clinic/Center
- Buena Vista, CO
- NPI 1427395193
-
- Anesthesiology Physician
- Jefferson City, MO
- NPI 1326091059
Pain Medicine
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salida, CO
- NPI 1730258971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.
- 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.