Individual provider Active NPI

Richard Stevens Foulke, M.D.

  • Medical Oncology Physician
  • Matthews, NC
National Provider Identifier
1801846571
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
36705 Issued in NC
Practice address
3036 Senna Drive
Matthews, NC 28105-6726
Phone
(704) 841-8151
Fax
(704) 841-9228
NPI assigned
May 11, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 36705 NC
Medical Oncology Physician 207RX0202X 36705 NC Primary

Addresses

Primary practice location

3036 Senna Drive
Matthews, NC 28105-6726

Mailing address

3036 Senna Drive
Matthews, NC 28105-6726
Phone (704) 841-8151

Other identifiers 2

IdentifierTypeStateIssuer
8933345MedicaidNC
33345OtherNCBLUE CROSS/BLUE SHIELD

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
I20040825000170 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0941274534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

10905 Providence Rd W
Suite 150
Charlotte, NC 28277-1538
Phone (980) 302-7120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Jul 1, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 1, 2023 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Carolinas Cancer Care PA Past Accepting new patients

Locations

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6000

125 Queens Rd
Ste 600
Charlotte, NC 28204
Phone (980) 302-6600

125 Queens Rd
Ste 610
Charlotte, NC 28204
Phone (980) 302-6600

125 Queens Rd
Ste 640
Charlotte, NC 28204
Phone (980) 302-6700

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

Interoperability endpoints

  • Direct secure messaging: rfoulke1137390@direct.novanthealth.org

Organizations & group practices 6

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 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1801846571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 SENNA DRIVE",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056726",
            "telephone_number": "704-841-8151",
            "fax_number": "704-841-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 SENNA DRIVE",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056726",
            "telephone_number": "704-841-8151",
            "fax_number": "704-841-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKE",
        "first_name": "RICHARD",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "36705",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "36705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "33345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.