Individual provider Active NPI

Richard George Yeron, MD

  • Adult Medicine Physician
  • Frederick, MD
National Provider Identifier
1851499784
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D41717 Issued in MD
Practice address
1090 W Patrick St
Frederick, MD 21703-3967
Phone
(301) 662-0757
Fax
(301) 662-0725
NPI assigned
Sep 21, 2006
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X D41717 MD Primary

Addresses

Primary practice location

1090 W Patrick St
Frederick, MD 21703-3967

Mailing address

1090 W Patrick St
Frederick, MD 21703-3967
Phone (301) 662-0757

Other identifiers 1

IdentifierTypeStateIssuer
153061500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080609000321 MD Practitioner - Internal MedicinePractitioner - Nephrology 1850461492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Practice addresses (Care Compare)

1090 W Patrick St
Frederick, MD 21703-3967
Phone (301) 676-0664

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P. Pham and J. Briggs LLC CurrentSince Sep 22, 2012 Accepting new patients
Maryland Medical Services LLC CurrentSince Mar 16, 2011 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Nov 1, 2017 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Nov 1, 2017 Accepting new patients
Maryland Medical Services LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Physicians PA Past Accepting new patients

Locations

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

1090 W Patrick St
Frederick, MD 21703
Phone (301) 662-0757

1090 W Patrick St
Unit 2E
Frederick, MD 21703

5100 Buckeystown Pike
Ste 186
Frederick, MD 21704
Phone (301) 662-5680

Organizations & group practices 7

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 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1851499784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-662-0757",
            "fax_number": "301-662-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217033967",
            "telephone_number": "301-662-0757",
            "fax_number": "301-662-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERON",
        "first_name": "RICHARD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D41717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153061500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.