Individual provider Active NPI

Richard Bruce Doerfler, MD

  • Diagnostic Radiology Physician
  • Lexington, KY
National Provider Identifier
1669455689
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35040119 Issued in OH
Practice address
232 Miller St
Lexington, KY 40507-1037
Phone
(419) 460-0092
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35040119 OH Primary

Addresses

Primary practice location

232 Miller St
Lexington, KY 40507-1037

Mailing address

232 Miller St
Lexington, KY 40507-1037
Phone (419) 460-0092

Other practice location 1

1200 Ralston Ave
Defiance, OH 43512-1396
Phone (419) 783-6955

Other practice location 2

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

Other practice location 3

525 N Eastown Rd
Lima, OH 45807-2268
Phone (419) 998-4498

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address rdoerfler16403@epicdirect.promedica.org
Direct Messaging Address rdoerfler16403@epicdirect.promedica.org
Direct Messaging Address rdoerfler16403@epicdirect.promedica.org
Direct Messaging Address rdoerfler16403@epicdirect.promedica.org

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
I20040311001053 OH Practitioner - Diagnostic Radiology 6608765326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Defiance Radiologist Associates IncGroup PAC ID 1355363862, 4 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

525 N Eastown Rd
Lima, OH 45807-2268
Phone (419) 998-4498

Hospital & facility affiliations

  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309
  • Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35040119OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellefontaine Radiologist Associates, Inc Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Defiance Radiologist Associates, Inc Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Consulting Radiologists Corporation Diagnostic Radiology Past Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

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

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

525 N Eastown Rd
Lima, OH 45807
Phone (419) 228-7275

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1178 Professional Dr
Van Wert, OH 45891
Phone (419) 238-6251

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1669455689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MILLER ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071037",
            "telephone_number": "419-460-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MILLER ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071037",
            "telephone_number": "419-460-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435121396",
            "country_code": "US",
            "telephone_number": "419-783-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042800",
            "country_code": "US",
            "telephone_number": "419-228-3335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Eastown Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458072268",
            "country_code": "US",
            "telephone_number": "419-998-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOERFLER",
        "first_name": "RICHARD",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35040119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoerfler16403@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "232 Miller St",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405071037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoerfler16403@epicdirect.promedica.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1001 Bellefontaine Ave",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoerfler16403@epicdirect.promedica.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "1200 Ralston Ave",
            "city": "Defiance",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435121396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoerfler16403@epicdirect.promedica.org",
            "affiliation": "N",
            "endpointDescription": "Epic Trust Address",
            "address_1": "525 N Eastown Rd",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458072268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.