Active NPI
Richard Gordon Picha, DPM
- Podiatrist
- Saint Paul, MN
National Provider Identifier
1811009970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 288
- Practice address
- 1919 University Ave W
Ste TLC
Saint Paul, MN 55104-3453 - Phone
- (952) 926-6670
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 288 | MN | Primary |
Addresses
Primary practice location
1919 University Ave W
Ste TLC
Saint Paul, MN 55104-3453
Mailing address
6015 Park Ave
Minneapolis, MN 55417-3123
Phone (952) 926-6670
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2728653 | Other | MEDICA | |
| 100466 | Other | CL CARE | |
| 3600355 | Medicaid | MN | |
| 582525300 | Medicaid | MN | |
| 480610048 | Other | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080930000018 | MN | Practitioner - Podiatry | 5092882290 | Practice locations: Saint Paul, MN |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phase Two Podiatry PC | Podiatrist | Current | Accepting new patients |
Locations
3245 Vera Cruz Ave N
Robbinsdale, MN 55422
Phone (516) 729-0070
301 Mill Rd
Ste U7
Hewlett, NY 11557
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Hewlett, NY
- NPI 1821333063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1811009970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554173123",
"telephone_number": "952-926-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 UNIVERSITY AVE W",
"address_2": "STE TLC",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043453",
"telephone_number": "952-926-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHA",
"first_name": "RICHARD",
"middle_name": "GORDON",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2728653",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CL CARE",
"identifier": "100466",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3600355",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "582525300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "480610048",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.