Individual provider Active NPI

Richard Christopher Kirkpatrick, MD

  • Dermatology Physician
  • Rockledge, FL
National Provider Identifier
1821074980
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME64220 Issued in FL
Practice address
1286 Florida Ave S
Rockledge, FL 32955-2484
Phone
(321) 636-7780
Fax
(321) 636-1152
NPI assigned
Dec 21, 2005
Last updated
Dec 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME64220 FL Primary

Addresses

Primary practice location

1286 Florida Ave S
Rockledge, FL 32955-2484

Mailing address

1286 Florida Ave S
Rockledge, FL 32955-2484
Phone (321) 636-7780

Other identifiers 2

IdentifierTypeStateIssuer
373770500MedicaidFL
70006625OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110113000744 FL Practitioner - Dermatology 0941290522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Roberts and Bryan PAGroup PAC ID 3678563251, 14 clinicians

Practice addresses (Care Compare)

1286 S Florida Ave
Rockledge, FL 32955-2479
Phone (321) 636-7780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions2148
Removal or shaving of skin growth1-10
Skin biopsy1312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Roberts & Bryan PA Dermatology CurrentSince Jun 10, 1993 Accepting new patients

Locations

150 N Sykes Creek Pkwy
Ste 102
Merritt Island, FL 32953
Phone (321) 301-4747

1071 Port Malabar Blvd NE
Ste 101
Palm Bay, FL 32905
Phone (321) 636-7780

1286 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-7780

1286 Florida Ave S
Ste 1
Rockledge, FL 32955
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-2100

8059 Spyglass Hill Rd
Ste 103
Viera, FL 32940
Phone (321) 636-7780

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: richardkirkpatrick@brevardskin.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1821074980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-636-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-636-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "RICHARD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME64220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373770500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "70006625",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.