NPIMap

Individual provider Active NPI

Richard K Delvalle, M.D.

  • Internal Medicine Physician
  • Taylorville, IL
National Provider Identifier
1932290384
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-075738 Issued in IL
Practice address
1304 Burnett Dr
Taylorville, IL 62568-9519
Phone
(217) 321-9310
NPI assigned
Sep 28, 2006
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-075738 IL Primary

Addresses

Primary practice location

1304 Burnett Dr
Taylorville, IL 62568-9519

Mailing address

1304 Burnett Dr
Taylorville, IL 62568-9519
Phone (217) 321-9310

Other identifiers 1

IdentifierTypeStateIssuer
036075738MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdelvalle100601@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000182 IL Practitioner - Internal Medicine 8527011576

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 S 6TH St
Springfield, IL 62703-2403

113 E Sieberling
Blue Mound, IL 62513

1130 S 6TH St
Springfield, IL 62703-2406

3051 Hollis Dr
FL 2
Springfield, IL 62704-7450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075738ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

1304 Burnett Dr
Taylorville, IL 62568
Phone (217) 321-9310

Interoperability endpoints

  • Direct secure messaging: rdelvalle100601@ewd.direct.hshs.org

Organizations & group practices 2

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 9

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1932290384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BURNETT DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689519",
            "telephone_number": "217-321-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-075738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075738",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdelvalle100601@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1304 Burnett Dr",
            "city": "Taylorville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625689519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.