Richard Garcia, D.O.
Individual provider Active NPI Family Medicine Physician · Chicago, IL
NPI 1770924664 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1770924664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125062612 (IL)
- Practice address
- 5145 N California Ave
Swedish Covenant Hospital
Chicago, IL 60625-3661 - Phone
- (773) 989-3808
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ferry County Public Hospital District No 1
Practice addresses (Care Compare)
10 Ros Cir
Republic, WA 99166-5002
Phone (509) 775-3245
Hospital & facility affiliations
- Ferry County Memorial Hospital
- Ferry County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 29.6 of 100
- Quality
- 32.46
- Improvement activities
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20161109000673 | WA | Practitioner - Family Practice | 3476832775 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062612 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital District No 2 | Current |
Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current |
Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current | Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Chelan County Public Hospital Dist No 2 | Current |
Accepting new patients |
Locations
110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300
10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153
36 Klondike Rd
Republic, WA 99166
Phone (509) 775-3153
Interoperability endpoints
- richardgarcia@fcphd.securechart.com
- richard.garcia@ferrycohealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125062612 | IL | Yes |
Addresses
Primary practice location
5145 N California Ave
Swedish Covenant Hospital
Chicago, IL 60625-3661
Mailing address
5145 N California Ave
Swedish Covenant Hospital
Chicago, IL 60625-3661
Phone (773) 989-3808
Other providers in Chicago, IL
- Priscilla Madeleyne Garcia
- Rafael Garcia Jr.
- Ramon Andres Garcia Jr.
- Rebecca Garcia
- Ricardo Garcia
- Robyn Garcia
- Rosa Julia A Garcia
- Ryann Michelle Garcia
- Samantha Garcia
- Sandra Garcia
All providers in Chicago, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. 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.