Carlin A Ridpath, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Springfield, MO
NPI 1497715080 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1497715080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 105620 (MO)
- Practice address
- 7125 E Crescentridge Dr
Springfield, MO 65809-3251 - Phone
- (417) 496-1677
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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
- Cape Radiology Group PC
Mercy Hospital Perry
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
- Saint Francis Medical Center
- Poplar Bluff Regional Medical Center
- Mercy Hospital Southeast
- Mercy Health - Lourdes Hospital
- Memorial Hospital of Carbondale
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MO, AR, IL, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031107000570 | MO | Practitioner - Diagnostic Radiology | 3870406697 | Reassigns benefits to 6 organizations |
| I20150923002701 | AR | Practitioner - Diagnostic Radiology | 3870406697 | Reassigns benefits to 1 organization |
| I20200812002174 | IL | Practitioner - Diagnostic Radiology | 3870406697 | Reassigns benefits to 1 organization |
| I20230712004167 | KY | Practitioner - Diagnostic Radiology | 3870406697 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Current |
Accepting new patients |
| Mercy Hospital Perry | Current |
Accepting new patients | |
| Advocates for a Healthy Community Inc | Current |
Accepting new patients | |
| Advocates for a Healthy Community, Inc | Current |
Accepting new patients | |
| Cox Barton County Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Arkansas Specialty Radiology, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Cox Barton County Hospital | Current | Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients | |
| Northeastern Rehabilitation Associates, PC | Past |
Accepting new patients | |
| Medevolve | Past | Accepting new patients | |
| Universal Radiology Services, LLC | Diagnostic Radiology | Past |
Accepting new patients |
| Litton & Giddings Radiological Associates PC | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 105620 | MO | Yes |
Addresses
Primary practice location
7125 E Crescentridge Dr
Springfield, MO 65809-3251
Mailing address
7125 E Crescentridge Dr
Springfield, MO 65809-3251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1256 | Other | MO | BLUE |
| 2046958910 | Medicaid | MO | |
| 160272001 | Medicaid | AR | |
| 300126840 | Other | MO | RRR MEDICARE |
Other providers in Springfield, MO
- Jennifer Richter
- Melissa Cherie Richter
- Jane Ann Rickard
- Desyrae Eliza Ridenour
- Sheila K Rider
- Jennifer Riegel
- Richard Allen Rieker II
- Carice Renee Riemann
- Right Path Counseling, LLC
- Nancy E Rikard
All providers in Springfield, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.