NPIMap

Individual provider Active NPI

Richard G Dmello, M.D.

  • Nephrology Physician
  • Evansville, IN
National Provider Identifier
1598765513
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01047609 Issued in IN
Practice address
1312 Professional Blvd
Suite 200
Evansville, IN 47714-8007
Phone
(812) 491-6419
Fax
(812) 491-6465
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01047609 IN Primary

Addresses

Primary practice location

1312 Professional Blvd
Suite 200
Evansville, IN 47714-8007

Mailing address

1312 Professional Blvd
Suite 200
Evansville, IN 47714-8007
Phone (812) 491-6419

Other identifiers 5

IdentifierTypeStateIssuer
3900088571OtherINRAILROAD MEDICARE
7928408OtherINAETNA
64063555MedicaidKY
200398050MedicaidIN
86207OtherKYCOVENTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100304000787 IN Practitioner - NephrologyPractitioner - Internal Medicine 9739246505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, LLCGroup PAC ID 4688610637, 8 clinicians

Practice addresses (Care Compare)

Evansville, IN 47714
Phone (812) 491-6419

1312 Professional Blvd
Evansville, IN 47714-8007
Phone (812) 491-6304

4311 Hwy 261
Suite a
Newburgh, IN 47630-2653
Phone (812) 853-2010

520 Mary St
Suite 230
Evansville, IN 47710-1678
Phone (812) 450-7878

671 3Rd Ave
Suite a
Jasper, IN 47546-3653
Phone (812) 482-1791

721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 996-5671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047609INMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physicians Network LLC Current Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jul 1, 2014 Accepting new patients
Deaconess Specialty Physicians, Inc CurrentSince Jan 25, 2026 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Jan 25, 2026 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jul 1, 2014 Accepting new patients
Deaconess Specialty Physicians, Inc Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

721 W 13th St
Ste 225
Jasper, IN 47546
Phone (812) 482-0337

721 W 13th St
Jasper, IN 47546
Phone (812) 482-4494

721 W 13th St
#233
Jasper, IN 47546
Phone (812) 482-0337

721 W 13th St
Ste 102
Jasper, IN 47546
Phone (812) 481-1655

Interoperability endpoints

  • Direct secure messaging: rdmello33308@direct.deaconess.com

Organizations & group practices 10

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 5

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1598765513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD",
            "address_2": "SUITE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148007",
            "telephone_number": "812-491-6419",
            "fax_number": "812-491-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD",
            "address_2": "SUITE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148007",
            "telephone_number": "812-491-6419",
            "fax_number": "812-491-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DMELLO",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01047609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "3900088571",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7928408",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063555",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200398050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "86207",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.