H. Karl Radke Jr., MD
Individual provider Active NPI Family Medicine Physician · Casper, WY
NPI 1720188972 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1720188972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8646A (WY)
- Practice address
- 5000 Blackmore Rd
Casper, WY 82609-3345 - Phone
- (307) 233-6000
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Center of Central Wyoming Inc
Practice addresses (Care Compare)
5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000
5647 US Hwy 26
Dubois, WY 82513-9607
Phone (307) 455-2516
Hospital & facility affiliations
- Casper Home Health LLC
- Enhabit Home Health
- Banner Wyoming Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110301000443 | WY | Practitioner - Family Practice | 0648234831 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28627 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Central Wyoming, Inc. | Current | Accepting new patients | |
| Community Health Center of Central Wyoming Inc | Current |
Accepting new patients |
Locations
5000 Blackmore Rd
Casper, WY 82609
Phone (307) 233-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8646A | WY | Yes |
| Family Medicine Physician | 207Q00000X | 04-28627 | KS |
Addresses
Primary practice location
5000 Blackmore Rd
Casper, WY 82609-3345
Mailing address
5000 Blackmore Rd
Casper, WY 82609-3345
Phone (307) 233-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100371230A | Medicaid | KS |
Other providers in Casper, WY
- Tyler Lee Quest
- Quick Fix DDS LLC
- Jennifer Quinn
- Michael J Quinn
- Taci Lynn Raben
- Joshua Kane Ragan
- Joyce K Rainbolt
- Barbara Ralph
- Joann Ramsey
- Kala Ramsey
All providers in Casper, WY · Family Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.