NPIMap

Individual provider Active NPI

Richard Kerr Dycus II, DO

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1487629523
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8481 Issued in FL
Practice address
30 Windsormere Way
Ste 100
Oviedo, FL 32765-6512
Phone
(407) 706-6688
Fax
(407) 706-6691
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8481 FL Primary

Addresses

Primary practice location

30 Windsormere Way
Ste 100
Oviedo, FL 32765-6512

Mailing address

30 Windsormere Way
Ste 100
Oviedo, FL 32765-6512
Phone (407) 706-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000306 FL Practitioner - Family Practice 4486822020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

30 Windsormere Way
Suite 100
Oviedo, FL 32765-6512
Phone (407) 706-6688

7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8481FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dycus Family Medicine, PA Family Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

30 Windsormere Way
Ste 100
Oviedo, FL 32765
Phone (407) 359-1770

Interoperability endpoints

  • Direct secure messaging: richarddycus@rkdid-fl.direct.office.nextgen.com

Organizations & group practices 1

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 10

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1487629523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINDSORMERE WAY",
            "address_2": "STE 100",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656512",
            "telephone_number": "407-706-6688",
            "fax_number": "407-706-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINDSORMERE WAY",
            "address_2": "STE 100",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656512",
            "telephone_number": "407-706-6688",
            "fax_number": "407-706-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCUS",
        "first_name": "RICHARD",
        "middle_name": "KERR",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.