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DR. JAMES E RIDER MD NPI 1568525988


NPI Information

NPI: 1568525988
Provider Name: DR. JAMES E RIDER, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
744 S WEBSTER AVE
2 FLOOR
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-3640
Get Directions

DR. James E Rider, MD is a cardiovascular disease internal medicine in Green Bay, WI with 24 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. James E Rider, MD NPI is 1568525988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

744 S WEBSTER AVE
2 FLOOR
GREEN BAY, WI
ZIP 54301-505
Phone: (920) 433-3640
Fax: (920) 433-3716

The NPI 1568525988 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.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

The enumeration date for this NPI number is 12/18/2006 and was last updated on 3/13/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine44251MINNESOTANo
2207RC0000XInternal MedicineCardiovascular Disease50202-20WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1105189687MEDICAIDMICHIGAN
20B10043OTHERMICHIGANBCBS - MI PIN #
3H48973MEDICARE UPIN
4002150192MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5004920102MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6P00879046MEDICARE OSCAR/CERTIFICATIONWISCONSIN
734191300MEDICAIDWISCONSIN
8OP38340029MEDICARE OSCAR/CERTIFICATIONMICHIGAN
9019200215MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.