Active NPI
Robert George Deichert II, MD
- Emergency Medicine Physician
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00016105
- Practice address
- 801 E Wheeler Rd
Moses Lake, WA 98837-1820 - Phone
- (509) 765-5606
- Fax
- (509) 764-3244
- NPI assigned
- Dec 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 46964 | MN | |
| Emergency Medicine Physician | 207P00000X | MD00016105 | WA | Primary |
Addresses
Primary practice location
801 E Wheeler Rd
Moses Lake, WA 98837-1820
Mailing address
660 S Coolidge St
Moses Lake, WA 98837-1872
Phone (509) 793-9715
Other practice location 1
3850 Park Nicollet Blvd
Minneapolis, MN 55416-2527
Phone (952) 993-3512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022025 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000382 | CA | Practitioner - Emergency Medicine | 7517877509 | Reassigns benefits to 2 organizations |
| I20210201001930 | FL | Practitioner - Emergency Medicine | 7517877509 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inphynet Contracting Services LLC
Practice addresses (Care Compare)
3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411
Hospital & facility affiliations
- Palm Beach Gardens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Intercare Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Past | Accepting new patients |
Locations
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
CA, Emergency Medicine
-
- Family Medicine Physician
- Pleasanton, CA
- NPI 1972821494
Family Medicine
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1598749335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S COOLIDGE ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371872",
"telephone_number": "509-793-9715",
"fax_number": "503-764-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WHEELER RD",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371820",
"telephone_number": "509-765-5606",
"fax_number": "509-764-3244"
}
],
"practiceLocations": [
{
"address_1": "3850 Park Nicollet Blvd",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554162527",
"country_code": "US",
"telephone_number": "952-993-3512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEICHERT",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "46964",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00016105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022025",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.