Individual provider Active NPI

Carlin A Ridpath, M.D.

  • Diagnostic Radiology Physician
  • Springfield, MO
National Provider Identifier
1497715080
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
105620 Issued in MO
Practice address
7125 E Crescentridge Dr
Springfield, MO 65809-3251
Phone
(417) 496-1677
NPI assigned
Mar 27, 2006
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
160272001MedicaidAR
2046958910MedicaidMO
300126840OtherMORRR MEDICARE
1256OtherMOBLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, IL, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
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

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
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

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

LicenseStateTypeSpecialty
105620MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Diagnostic Radiology Current Accepting new patients
Cox Barton County Hospital Diagnostic Radiology CurrentSince Feb 15, 2020 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jun 17, 2015 Accepting new patients
Arkansas Specialty Radiology, PLLC Diagnostic Radiology CurrentSince Jul 18, 2015 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jun 17, 2015 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Northeastern Rehabilitation Associates, PC PastSince Feb 13, 2023 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 PastSince Dec 21, 2019 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.