Active NPI
Richard W Heinrichs, MD
- Internal Medicine Physician
- Sarasota, FL
National Provider Identifier
1649219460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20734
- Practice address
- 1900 Brother Geenen Way
Sarasota, FL 34236-7102 - Phone
- (941) 556-3220
- Fax
- (941) 955-8214
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20734 | MN | Primary |
Addresses
Primary practice location
1900 Brother Geenen Way
Sarasota, FL 34236-7102
Mailing address
1720 Highway 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901107 | Other | MN | AMERICA'S PPO/ARAZ # |
| 10239 | Other | MN | NDBS # |
| 142311 | Other | MN | UCARE # |
| HP19488 | Other | FM | HEALTHPARTNERS # |
| MN100011 | Other | FM | LHS/BANNERHEALTH # |
| 12958 | Medicaid | MN | |
| 315068200 | Medicaid | MN | |
| 0402916 | Other | FM | MEDICA # |
| 63328HE | Other | MN | MNBS # |
| DA9021015699 | Other | MN | PREFERRED ONE # |
| 10148 | Other | ND | ND LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic North | Internal Medicine | Past | 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.
-
dba Sanford Health Broadway Clinic
- Family Medicine Physician
- Alexandria, MN
- NPI 1548532468
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1649219460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HIGHWAY 59 S",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567014331",
"telephone_number": "218-681-4747",
"fax_number": "218-683-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BROTHER GEENEN WAY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342367102",
"telephone_number": "941-556-3220",
"fax_number": "941-955-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINRICHS",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "20734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "901107",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "10239",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "142311",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP19488",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS/BANNERHEALTH #",
"identifier": "MN100011",
"state": "FM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12958",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315068200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "0402916",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "63328HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9021015699",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND LICENSE #",
"identifier": "10148",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.