NPIMap

Individual provider Active NPI

Richard A Memo, M.D.

  • Urology Physician
  • Boardman, OH
National Provider Identifier
1710951702
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35-03-8880M Issued in OH
Practice address
7430 Southern Blvd
Boardman, OH 44512-5629
Phone
(330) 729-9214
Fax
(330) 729-9217
NPI assigned
Feb 15, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35-03-8880M OH Primary

Addresses

Primary practice location

7430 Southern Blvd
Boardman, OH 44512-5629

Mailing address

7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214

Other identifiers 1

IdentifierTypeStateIssuer
0386818MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000275 OH Practitioner - Urology 3173652963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neo Urology Associates IncGroup PAC ID 8628088036, 18 clinicians

Practice addresses (Care Compare)

7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Urology Associates Inc Urology CurrentSince Jul 1, 1966 Accepting new patients
Dermatology Associates of Youngstown Inc Past Accepting new patients

Locations

6262 Mahoning Ave
Ste C
Youngstown, OH 44515
Phone 3307299214225

7430 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-9214

Interoperability endpoints

  • Direct secure messaging: richardmemo@neourology.medalliesdirect.net

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.

Hospital & facility affiliations 8

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1710951702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 SOUTHERN BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125629",
            "telephone_number": "330-729-9214",
            "fax_number": "330-729-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 SOUTHERN BLVD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125629",
            "telephone_number": "330-729-9214",
            "fax_number": "330-729-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-03-8880M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.