Individual provider Active NPI

Richard K Mettel, M.D.

  • Gynecology Physician
  • Beverly Hills, CA
National Provider Identifier
1619036944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G15078 Issued in CA
Practice address
421 N. Rodeo Dr PH # 1
Beverly Hills, CA 90210-4536
Phone
(310) 432-6646
Fax
(310) 432-6647
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G15078 CA Primary

Addresses

Primary practice location

421 N. Rodeo Dr PH # 1
Beverly Hills, CA 90210-4536

Mailing address

421 N. Rodeo Dr PH # 1
Beverly Hills, CA 90210-4536
Phone (310) 432-6646

Other names 1

  • Richard K Mettel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000724 CA Practitioner - Obstetrics/Gynecology 2961433750 Practice locations: Santa Monica, CA; West Hollywood, CA; Beverly Hills, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henrietta Stancz-Szeder MD Inc Gynecology PastSince Nov 2, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619036944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N. RODEO DR PH # 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-432-6646",
            "fax_number": "310-432-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N. RODEO DR PH # 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-432-6646",
            "fax_number": "310-432-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTEL",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G15078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "METTEL",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.