Individual provider Active NPI

Richard Joseph Hruby, DO

  • Family Medicine Physician
  • Bloomington, MN
National Provider Identifier
1619050762
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27287 Issued in MN
Practice address
8120 Penn Ave S Ste 440
Bloomington, MN 55431-1326
Phone
(952) 920-0844
Fax
(952) 920-0846
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27287 MN Primary

Addresses

Primary practice location

8120 Penn Ave S Ste 440
Bloomington, MN 55431-1326

Mailing address

8120 Penn Ave S Ste 440
Bloomington, MN 55431-1326
Phone (952) 920-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100518000395 MN Practitioner - Osteopathic Manipulative Medicine 7012046709 Practice locations: Bloomington, MN

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8120 Penn Ave S
Suite 440
Bloomington, MN 55431-1326
Phone (952) 920-0844

8120 Penn S Ave
Suite 440
Bloomington, MN 55431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillpoint Osteopathic, LTD. CurrentSince Aug 2, 2020 Accepting new patients

Locations

8120 Penn Ave S
Ste 440
Minneapolis, MN 55431
Phone (952) 920-0844

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595116800000",
    "number": "1619050762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 440",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311326",
            "telephone_number": "952-920-0844",
            "fax_number": "952-920-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 440",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311326",
            "telephone_number": "952-920-0844",
            "fax_number": "952-920-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUBY",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "27287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.