Individual provider Active NPI

Richard M Dondiego, M.D.

  • Family Medicine Physician
  • Reidsville, NC
National Provider Identifier
1669563839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9501225 Issued in NC
Practice address
829 S Scales St
Reidsville, NC 27320-5331
Phone
(336) 361-0244
Fax
(336) 361-0245
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9501225 NC Primary

Addresses

Primary practice location

829 S Scales St
Reidsville, NC 27320-5331

Mailing address

829 S Scales St
Reidsville, NC 27320-5331
Phone (336) 361-0244

Other identifiers 2

IdentifierTypeStateIssuer
28826OtherNCNC BLUE SHIELD
8928826MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040809001317 NC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7012989262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9501225NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Family Practice, PA Family Medicine Past Accepting new patients
North Star Pathology PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669563839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205331",
            "telephone_number": "336-361-0244",
            "fax_number": "336-361-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205331",
            "telephone_number": "336-361-0244",
            "fax_number": "336-361-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDIEGO",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE SHIELD",
            "identifier": "28826",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928826",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.