Active NPI
Robert Brad Ringhofer, M.D.
- Internal Medicine Physician
- MC Leansboro, IL
National Provider Identifier
1528049889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036063325
- Practice address
- 611 S Marshall Ave
MC Leansboro, IL 62859-1213 - Phone
- (618) 643-2361
- Fax
- (618) 643-2502
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036063325 | IL | Primary |
Addresses
Primary practice location
611 S Marshall Ave
MC Leansboro, IL 62859-1213
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (618) 277-7500
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2616 | Other | IL | BCBS TRI ST |
| C45531 | Other | IL | MERCY |
| 000000010032 | Other | IL | ESSENCE |
| 036063325 | Medicaid | IL | |
| 5950091 | Other | IL | AETNA |
| 08221955 | Other | IL | BCBS |
| 123506 | Other | IL | HEALTHLINK |
| 127487 | Other | IL | GHP |
| 0407154 | Other | IL | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036063325 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Internal Medicine | Current | Accepting new patients |
| Washington University | Past | Accepting new patients | |
| English and McLaughlin, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
2900 Frank Scott Pkwy W
Ste 914
Belleville, IL 62223
Phone (618) 277-1413
1167 Fortune Blvd
Shiloh, IL 62269
Phone (618) 207-6900
4 Park Pl
Swansea, IL 62226
Phone (618) 277-7500
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
-
- Internal Medicine Physician
- Shiloh, IL
- NPI 1780314781
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1528049889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "618-277-7500",
"fax_number": "618-277-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S MARSHALL AVE",
"city": "MC LEANSBORO",
"state": "IL",
"postal_code": "628591213",
"telephone_number": "618-643-2361",
"fax_number": "618-643-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINGHOFER",
"first_name": "ROBERT",
"middle_name": "BRAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036063325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TRI ST",
"identifier": "2616",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "C45531",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000010032",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063325",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5950091",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08221955",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "123506",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "127487",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0407154",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MC Leansboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.