Active NPI
Carlin A Ridpath, M.D.
- Diagnostic Radiology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 105620
- Practice address
- 7125 E Crescentridge Dr
Springfield, MO 65809-3251 - Phone
- (417) 496-1677
- NPI assigned
- Mar 27, 2006
- Last updated
- Jan 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 105620 | MO | Primary |
Addresses
Primary practice location
7125 E Crescentridge Dr
Springfield, MO 65809-3251
Mailing address
7125 E Crescentridge Dr
Springfield, MO 65809-3251
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160272001 | Medicaid | AR | |
| 2046958910 | Medicaid | MO | |
| 300126840 | Other | MO | RRR MEDICARE |
| 1256 | Other | MO | BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR, IL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Missouri, Kansas City, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5543
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-2000
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536
611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 783-3341
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071
7125 E Crescent RDG
Springfield, MO 65809-3248
Phone (573) 334-6071
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105620 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Diagnostic Radiology | Current | Accepting new patients |
| Cox Barton County Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Advocates for a Healthy Community, Inc | Current | Accepting new patients | |
| Arkansas Specialty Radiology, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Advocates for a Healthy Community Inc | Current | Accepting new patients | |
| Cox Barton County Hospital | Current | Accepting new patients | |
| Northeastern Rehabilitation Associates, PC | Past | Accepting new patients | |
| Medevolve | Past | Accepting new patients | |
| Litton & Giddings Radiological Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Community Memorial Hospital District | Past | Accepting new patients | |
| Universal Radiology Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1115 W 3rd St
Little Rock, AR 72201
Phone (501) 687-9099
4300 Landers Rd
North Little Rock, AR 72117
Phone (501) 771-1600
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
70 Doctors Park
Cpe Girardeau, MO 63703
611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191
Interoperability endpoints
- carlin.ridpath.p1@direct.jordanvalley.nextgenshare.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1558303057
-
- Critical Access Hospital
- Lamar, MO
- NPI 1922514629
-
- Diagnostic Radiology Physician
- N Little Rock, AR
- NPI 1598843989
-
- Emergency Medicine Physician
- Bolivar, MO
- NPI 1558548818
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Buffalo, MO
- NPI 1750179610
-
- Emergency Medicine Physician
- Lamar, MO
- NPI 1174166177
Diagnostic Radiology
-
dba Mercy Hospital Perry - RHC I
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
dba Ellett Memorial Hospital
- Critical Access Hospital
- Appleton City, MO
- NPI 1609894716
-
- Diagnostic Radiology Physician
- Springfield, MO
- NPI 1295790582
-
- Orthopaedic Surgery Physician
- Little Rock, AR
- NPI 1164830576
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Poplar Bluff Regional Medical Center
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1497715080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 E CRESCENTRIDGE DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658093251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 E CRESCENTRIDGE DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658093251",
"telephone_number": "417-496-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDPATH",
"first_name": "CARLIN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "105620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160272001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2046958910",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRR MEDICARE",
"identifier": "300126840",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE",
"identifier": "1256",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.