Active NPI
Richard Augustine Cardone, M.D.
- Surgery Physician
- Bullhead City, AZ
National Provider Identifier
1932106853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26223
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415390 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040408001013 | AZ | Practitioner - General Surgery | 8729072244 | Practice locations: Bullhead City, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
- Western Arizona Regional Medical Center
- Kingman Regional Medical Center
- Havasu Regional Medical Center
- Valley View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 360 |
| Hernia repair - groin (open) | 25 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 117 |
| Melanoma (skin cancer) excision | 31 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26223 | AZ | MD | Surgery Physician |
| G84346 | CA | MD | Colon & Rectal Surgery Physician |
| MD050553L | PA | MD | Colon & Rectal Surgery Physician |
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Western Arizona Regional Medical Center
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
-
dba Fox Creek Urgent Care
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
dba Valley View Medical Center
- General Acute Care Hospital
- Fort Mohave, AZ
- NPI 1811086994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.