Individual provider Active NPI

Richard Christian Hershberger, MD

  • Vascular Surgery Physician
  • Sarasota, FL
National Provider Identifier
1497959225
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036.117837 Issued in IL
Practice address
600 N Cattlemen Rd Ste 220
Sarasota, FL 34232-6422
Phone
(941) 371-6565
Fax
(941) 377-7731
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME128434 FL
Vascular Surgery Physician 2086S0129X 036.117837 IL Primary

Addresses

Primary practice location

600 N Cattlemen Rd Ste 220
Sarasota, FL 34232-6422

Mailing address

600 N Cattlemen Rd Ste 220
Sarasota, FL 34232-6422
Phone (941) 371-6565

Other identifiers 1

IdentifierTypeStateIssuer
ME128434OtherFLFL MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090702000052 IL Practitioner - Vascular Surgery 8820149859
I20161202001859 FL Practitioner - Vascular Surgery 8820149859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Associates of SarasotaGroup PAC ID 3274431085, 15 clinicians

Practice addresses (Care Compare)

600 N Cattlemen Rd
Suite 220
Sarasota, FL 34232-6422
Phone (941) 371-6565

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal12
Leg revascularization (restoring blood flow)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117837ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Associates of Sarasota Vascular Surgery CurrentSince Sep 1, 2016 Accepting new patients

Locations

600 N Cattlemen Rd
Ste 220
Sarasota, FL 34232
Phone (941) 371-6565

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: richard.hershberger@svs.eclinicaldirectplus.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 4

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1497959225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CATTLEMEN RD STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326422",
            "telephone_number": "941-371-6565",
            "fax_number": "941-377-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CATTLEMEN RD STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326422",
            "telephone_number": "941-371-6565",
            "fax_number": "941-377-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "RICHARD",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME128434",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.117837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ME128434",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.