PHILLIP PATRICK RIDEOUT MD NPI 1093153116

NPI Information

  • NPI: 1093153116
  • Provider Name: PHILLIP PATRICK RIDEOUT, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 S ENOTA DR NE STE 360
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (770) 219-4000

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NPI Details

Phillip Patrick Rideout, MD is a vascular surgery surgery in Gainesville, GA with 12 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Phillip Patrick Rideout, MD NPI is 1093153116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

200 S ENOTA DR NE STE 360
GAINESVILLE, GA
ZIP 30501-466
Phone: (770) 219-4000

The NPI 1093153116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Insertion of tube into abdominal, pelvic, or leg artery, each first order branch (HCPCS:36245)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Ultrasound of one arm arteries or artery grafts (HCPCS:93931)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Spinal fusion (HCPCS:NAN02)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/11/2013 and was last updated on 1/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery6088GEORGIANo
22086S0129XSurgeryVascular Surgery73048GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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