Individual provider Active NPI

Richard Augustine Cardone, M.D.

  • Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1932106853
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26223 Issued in AZ
Practice address
5300 Hwy 95
Ste. C
Bullhead City, AZ 86426-9251
Phone
(928) 768-4100
Fax
(928) 768-6522
NPI assigned
Jul 7, 2005
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26223 AZ Primary
Colon & Rectal Surgery Physician 208C00000X G84346 CA
Colon & Rectal Surgery Physician 208C00000X MD050553L PA

Addresses

Primary practice location

5300 Hwy 95
Ste. C
Bullhead City, AZ 86426-9251

Mailing address

PO Box 9687
Bullhead City, AZ 86427-9687
Phone (928) 768-4100

Other identifiers 1

IdentifierTypeStateIssuer
415390MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040408001013 AZ Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8729072244 Practice locations: Bullhead City, AZ

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 Hwy 95
Suite 33
Bullhead City, AZ 86442-7896
Phone (928) 763-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy360
Hernia repair - groin (open)25
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux117
Melanoma (skin cancer) excision31
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26223AZMDSurgery Physician
G84346CAMDColon & Rectal Surgery Physician
MD050553LPAMDColon & Rectal Surgery Physician

Hospital & facility affiliations 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1932106853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9687",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864279687",
            "telephone_number": "928-768-4100",
            "fax_number": "928-768-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HWY 95",
            "address_2": "STE. C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-768-4100",
            "fax_number": "928-768-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONE",
        "first_name": "RICHARD",
        "middle_name": "AUGUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "26223",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G84346",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD050553L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.