Individual provider Active NPI

Richard A. Wolf, M.D.

  • Cardiovascular Disease Physician
  • Bullhead City, AZ
National Provider Identifier
1962440552
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
69334 Issued in AZ
Practice address
3003 Highway 95 Ste 102
Bullhead City, AZ 86442-7802
Phone
(417) 291-0380
NPI assigned
Jun 3, 2006
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 69334 AZ Primary

Addresses

Primary practice location

3003 Highway 95 Ste 102
Bullhead City, AZ 86442-7802

Mailing address

3003 Highway 95 Ste 102
Bullhead City, AZ 86442-7802
Phone (417) 291-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221010002250 NM Practitioner - Cardiovascular Disease (Cardiology) 1658347356 Reassigns benefits to 1 organization
I20231102001374 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658347356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 Hway
95 Suite 102
Bullhead City, AZ 86442-7802
Phone (417) 291-0380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69334AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Health Mirza MD PC Cardiovascular Disease CurrentSince Nov 1, 2023 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Jul 25, 2022 Accepting new patients
Dr Richard Wolf Compassionate Cardiology LLC Cardiovascular Disease CurrentSince Jun 13, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital CurrentSince Jul 25, 2022 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
St. Luke's Methodist Hospital Cardiovascular Disease Past Accepting new patients
Sjmgroup Past Accepting new patients

Locations

1526 Turquoise Rd
Bullhead City, AZ 86442
Phone (928) 763-8515

3003 Highway 95
Bldg 94
Bullhead City, AZ 86442
Phone (417) 291-0380

3003 Highway 95
Ste 102
Bullhead City, AZ 86442
Phone (417) 291-0380

5653 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 237-4418

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1399 Weimer Rd
Ste 600
Taos, NM 87571
Phone (505) 751-0334

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIDHDD/Endpoint/DIDHDD
  • Direct secure messaging: richard.wolf@drrwolfcc.ehi.direct-ci.com
  • Direct secure messaging: rwolf189201@directb.mercy.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beacon of Hope HospiceBullhead City, AZ, CCN 031610 Hospice Operational/Managerial Control Nov 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1962440552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95 STE 102",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427802",
            "telephone_number": "417-291-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95 STE 102",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427802",
            "telephone_number": "417-291-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "69334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.