NPIMap

Individual provider Active NPI

Richard Lee Endorf, M.D.

  • Diagnostic Radiology Physician
  • Rock Springs, WY
National Provider Identifier
1871580266
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
TL3366 Issued in WY
Practice address
1200 College Dr
Rock Springs, WY 82901-5868
Phone
(307) 350-8577
Fax
(307) 875-8800
NPI assigned
Sep 30, 2005
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 22629 NE
Diagnostic Radiology Physician 2085R0202X TL3366 WY Primary

Addresses

Primary practice location

1200 College Dr
Rock Springs, WY 82901-5868

Mailing address

105 Grant Cir
Offutt a F B, NE 68113-4041
Phone (402) 294-7345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000282 NE Practitioner - Diagnostic Radiology 3072757830 Reassigns benefits to 1 organization
I20180323000543 SD Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3072757830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, shared by 17 NPIs, 151 clinicians

Practice addresses (Care Compare)

300 N 2ND St
O'Neill, NE 68763-1514
Phone (402) 336-2611

405 W Darlene St
Avera Behavioral Health Yankton
Hartington, NE 68739-0937
Phone (402) 254-3935

501 Summit St
Yankton, SD 57078-3855
Phone (605) 655-1201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22629NEMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Sacred Heart Health Services CurrentSince Mar 2, 2018 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 2, 2018 Accepting new patients
Avera Queen of Peace CurrentSince Sep 1, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Osmond General Hospital Inc Diagnostic Radiology CurrentSince Mar 23, 2018 Accepting new patients
Osmond General Hospital Inc CurrentSince Mar 23, 2018 Accepting new patients
Avera Queen of Peace CurrentSince Sep 1, 2021 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Health Services Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 10

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 12

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1871580266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GRANT CIR",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681134041",
            "telephone_number": "402-294-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015868",
            "telephone_number": "307-350-8577",
            "fax_number": "307-875-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDORF",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "22629",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "TL3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.