Individual provider Active NPI

Richard Plumb, DO

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1982693131
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002854P Issued in OH
Practice address
700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372
Phone
(937) 339-5355
Fax
(937) 339-3056
NPI assigned
Oct 20, 2005
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34002854P OH Primary

Addresses

Primary practice location

700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372

Mailing address

700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372
Phone (937) 339-5355

Other identifiers 1

IdentifierTypeStateIssuer
0473429MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address rplumb189704@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34002854POHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Family Care, Inc Family Medicine Current Accepting new patients
Integrative Health Care Inc. Family Medicine PastSince Jan 1, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rplumb189704@direct.ketteringhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1982693131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002854P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473429",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rplumb189704@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.