Individual provider Active NPI

Richard Martin Nedelman, M.D.

  • Surgery Physician
  • Springfield, OH
National Provider Identifier
1629086855
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OH35-05-9943 Issued in OH
Practice address
3152 El Camino Dr
Springfield, OH 45503-1318
Phone
(937) 521-1111
NPI assigned
Aug 3, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OH35-05-9943 OH Primary

Addresses

Primary practice location

3152 El Camino Dr
Springfield, OH 45503-1318

Mailing address

3152 El Camino Dr
Springfield, OH 45503-1318
Phone (937) 521-1111

Other identifiers 1

IdentifierTypeStateIssuer
0807345MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100623000670 OH Practitioner - General Surgery 4880725639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-0070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
71.9
Promoting interoperability
99
Improvement activities
40
Cost
74.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Springfield Inc CurrentSince Jul 25, 1993 Accepting new patients
Mary Rutan Hospital CurrentSince Jun 25, 2024 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital Surgery CurrentSince Jun 25, 2024 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 592-9221

30 Warder St
Ste 220
Springfield, OH 45504
Phone (937) 521-4823

Interoperability endpoints

  • Direct secure messaging: rnedelman@direct.ovsurgical.com

Organizations & group practices 6

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.

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1629086855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-521-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 EL CAMINO DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031318",
            "telephone_number": "937-521-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDELMAN",
        "first_name": "RICHARD",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "OH35-05-9943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0807345",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.