DR. RICHARD L NIELSEN M.D. NPI 1619207941

NPI Information

  • NPI: 1619207941
  • Provider Name: DR. RICHARD L NIELSEN, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 11104 PARKVIEW CIRCLE DR STE 20
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 425-6940

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NPI Details

DR. Richard L Nielsen, M.D. is a nephrology internal medicine in Fort Wayne, IN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Richard L Nielsen, M.D. NPI is 1619207941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11104 PARKVIEW CIRCLE DR STE 20
FORT WAYNE, IN
ZIP 46845-733
Phone: (260) 425-6940
Fax: (260) 425-6949

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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)

The enumeration date for this NPI number is 1/8/2010 and was last updated on 10/20/2022.

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
1208M00000XHospitalist01025422AINDIANANo
2207RN0300XInternal MedicineNephrology01025422AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000655794OTHERINDIANAANTHEM
2P00836701OTHERINDIANAR.R. MEDICARE
3100360270MEDICAIDINDIANA

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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