Active NPI
Richard L Stone, M.D.
- Dermatology Physician
- Provo, UT
National Provider Identifier
1548262801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 154114-1205
- Practice address
- 1275 N University Ave Ste 23
Provo, UT 84604-7125 - Phone
- (801) 377-4745
- Fax
- (801) 373-5762
- NPI assigned
- Jun 1, 2005
- Last updated
- Aug 12, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 154114-1205 | UT | Primary |
| Dermatopathology Physician | 207ND0900X | 154114-1205 | UT | |
| Procedural Dermatology Physician | 207NS0135X | 154114-1205 | UT |
Addresses
Primary practice location
1275 N University Ave Ste 23
Provo, UT 84604-7125
Mailing address
1275 N University Ave Ste 23
Provo, UT 84604-7125
Phone (801) 377-4745
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-115-7001 | Other | MEDICARE RAILROAD | |
| 0300032 | Other | UHC | |
| 107004856101 | Other | SELECTHEALTH | |
| QM0000031427 | Other | ALTIUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Utah School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1375 N University Ave
Provo, UT 84604-2658
Phone (801) 377-4745
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1039 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 283 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154114-1205 | UT | MD | Procedural Dermatology Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Provo, UT
- NPI 1760669766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1548262801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 N UNIVERSITY AVE STE 23",
"city": "PROVO",
"state": "UT",
"postal_code": "846047125",
"telephone_number": "801-377-4745",
"fax_number": "801-373-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 N UNIVERSITY AVE STE 23",
"city": "PROVO",
"state": "UT",
"postal_code": "846047125",
"telephone_number": "801-377-4745",
"fax_number": "801-373-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "UT",
"license": "154114-1205",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "UT",
"license": "154114-1205",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "UT",
"license": "154114-1205",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "07-115-7001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0300032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTHEALTH",
"identifier": "107004856101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000031427",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.