Active NPI
Richard Wayne Geldmeier, M.D.
- Diagnostic Radiology Physician
- Boone, NC
National Provider Identifier
1891761706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33512
- Practice address
- 400 Shadowline Dr
Ste 201a
Boone, NC 28607 - Phone
- (828) 264-6850
- Fax
- (828) 264-6850
- NPI assigned
- Feb 28, 2006
- Last updated
- May 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33512 | NC | Primary |
| Nuclear Medicine Physician | 207U00000X | 33512 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 33512 | NC |
Addresses
Primary practice location
400 Shadowline Dr
Ste 201a
Boone, NC 28607
Mailing address
155 Furman Rd Ste 101a
Boone, NC 28607-5049
Phone (828) 262-4402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8935093 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100618000615 | NC | Practitioner - Diagnostic Radiology | 3274420872 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33512 | NC | MD | Nuclear Medicine Physician |
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.
-
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- Richmond, VA
- NPI 1023084936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1891761706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 FURMAN RD STE 101A",
"city": "BOONE",
"state": "NC",
"postal_code": "286075049",
"telephone_number": "828-262-4402",
"fax_number": "828-264-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SHADOWLINE DR",
"address_2": "STE 201A",
"city": "BOONE",
"state": "NC",
"postal_code": "28607",
"telephone_number": "828-264-6850",
"fax_number": "828-264-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDMEIER",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "33512",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NC",
"license": "33512",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "33512",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8935093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.