Individual provider Active NPI

Robert George Deichert II, MD

  • Emergency Medicine Physician
  • Moses Lake, WA
National Provider Identifier
1598749335
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00016105 Issued in WA
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

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2022025MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
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 169 clinicians

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 Hospital, Palm Beach Gardens, FL, CCN 100176

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 28, 2016 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Feb 20, 2011 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.