Individual provider Active NPI

Richard R Ripperger, M.D.

  • Orthopaedic Surgery Physician
  • Eldridge, IA
National Provider Identifier
1871571224
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD-20699 Issued in IA
Practice address
27005 Glynns Creek CT
Eldridge, IA 52748
Phone
(563) 320-4756
NPI assigned
Jan 5, 2006
Reactivated
Jul 10, 2018
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD-20699 IA Primary
Orthopaedic Hand Surgery Physician 207XS0106X MD-20699 IA

Addresses

Primary practice location

27005 Glynns Creek CT
Eldridge, IA 52748

Mailing address

27005 Glynns Creek CT
Eldridge, IA 52748-9405
Phone (563) 320-4756

Other practice location 1

2300 53rd Ave
Suite 100
Bettendorf, IA 52722-7564
Phone (563) 322-0971

Other identifiers 11

IdentifierTypeStateIssuer
19816OtherIA HEALTH SOLUTIONS
038967OtherHEALTH ALLIANCE
200029098OtherRR MEDICARE
58100OtherIAWELLMARK
15606OtherMIDLANDS CHOICE
0192724MedicaidIA
57860OtherIAWELLMARK
1602940OtherFIRST HEALTH
8121085OtherILBCBS
IA0141OtherIAJOHN DEERE FAMILY
T80524OtherIAJOHN DEERE FAMILY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-20699IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genortho, LLC Current Accepting new patients
Ora Orthopedics, PC Orthopaedic Surgery Past Accepting new patients
Ora Orthopedics PC Orthopaedic Surgery Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL0
Bettendorf, IA 52722
Phone (563) 441-7608

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

Organizations & group practices 3

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1871571224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 GLYNNS CREEK CT",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527489405",
            "telephone_number": "563-320-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 GLYNNS CREEK CT",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "52748",
            "telephone_number": "563-320-4756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 53rd Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527227564",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "fax_number": "563-324-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPPERGER",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-07-11",
        "deactivation_date": "2018-05-24",
        "reactivation_date": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-20699",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IA",
            "license": "MD-20699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA HEALTH SOLUTIONS",
            "identifier": "19816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "038967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200029098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "58100",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "15606",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192724",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "57860",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1602940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8121085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE FAMILY",
            "identifier": "IA0141",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE FAMILY",
            "identifier": "T80524",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldridge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.