Richard M Bardales, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35074693 Issued in OH

Practice address

618 Pleasantville Rd
Ste 101
Lancaster, OH 43130-3312

Phone

(740) 653-7511

Fax

(740) 653-7512

NPI assigned

Aug 10, 2005

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiovascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Lancaster, OH
  • NPI 1871728303
  Medicare reassignment NPD
• Cardiovascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Canal Winchester, OH
  • NPI 1073737136
  NPD
• Cardiovascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Canal Winchester, OH
  • NPI 1174859359
  NPD
• Capitol City Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Lancaster, OH
  • NPI 1164646220
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1619978889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303312",
            "telephone_number": "740-653-7511",
            "fax_number": "740-689-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PLEASANTVILLE RD",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303312",
            "telephone_number": "740-653-7511",
            "fax_number": "740-653-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDALES",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35074693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087898",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond E Baker III
• Scott R Baker, M.D.
• Matthew Balasco, DDS
• Mary Beth Barbush-Kirila, LPCC
• Delores Ellen Bardales, MSN, APRN-BC
• Terry Douglas Barkley
• Stephen Barnett
• Kelli Barnhart, PTA
• Suzanne M Barnhart, MD
• Bethanny Joy Barno, DO

• Cardiovascular Disease Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.