Richard T Cardosi, M.D.
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Lawrenceburg, IN
NPI 1962519793 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1962519793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 01035414A (IN)
- Practice address
- 600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751 - Phone
- (812) 532-2700
- Fax
- (812) 537-1507
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081103000011 | IN | Practitioner - Emergency Medicine |
6709945074 | Reassigns benefits to 2 organizations |
| I20241204003486 | KY | Practitioner - Emergency Medicine | 6709945074 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Henry County Memorial Hospital | Current |
Accepting new patients | |
| Indiana Emergency Professionals PC | Emergency Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
720 S 6th St
Monticello, IN 47960
Phone (574) 583-1776
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01035414A | IN | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 01035414A | IN | Yes |
Addresses
Primary practice location
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Mailing address
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 532-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64254204 | Medicaid | KY | |
| 00188327 | Medicaid | OH | |
| 080101086 | Other | IN | MEDICARE RAILROAD |
| 000000111516 | Other | ANTHEM | |
| 200017380A | Medicaid | IN |
Other providers in Lawrenceburg, IN
- Thom Andrew Bunnell
- Kevin E Burns
- Lauren Cadle
- Tracey Campagna
- Courtney R Canos
- Kimberly Carhuatanta
- Megan Sue Carnes
- Scott Carpenter
- Thomas Joseph Carrico
- Cei Physicians PSC LLC
All providers in Lawrenceburg, IN · Emergency Medical Services (Emergency Medicine) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.