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RICHARD A STOLDT M.D.
NPI 1104863679
Family Medicine in South Bend, IN

Active since June 01, 2006PECOS Enrolled
2930 W CLEVELAND RD, SOUTH BEND, IN 46628(574) 520-2707(574) 520-2700 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Stoldt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD A STOLDT M.D. (NPI 1104863679) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01037182) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104863679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD A STOLDTCredential: M.D.
Location Address2930 W CLEVELAND RDSouth Bend, IN 46628-6090
Mailing Address707 E Cedar St, Ste 200South Bend, IN 46617-2057 · (574) 335-8700 · Fax (574) 335-0760
Phone(574) 520-2707
Fax(574) 520-2700
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1104863679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01037182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2930 W CLEVELAND RD, South Bend, IN 46628
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Other Identifiers 6

Medicare PIN187710GIN
Medicaid100092390AIN
Other000000298320IN · Bcbs
Medicare UPINE09522IN
Medicare PIN08181941IN
Medicare PININ0033013IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard A Stoldt M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL HELMS M.D.
Family Medicine
2930 W CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 335-8450
SHAMIRAM BADAL M.D.
Family Medicine
2930 W CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 335-8450
DR. FRANK V. MURPHY M.D.
Family Medicine
2930 W CLEVELAND RD
SOUTH BEND, IN 46628
St. Joseph County (574) 335-8450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Stoldt's NPI number?

The NPI number for Richard Stoldt is 1104863679. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Richard Stoldt located?

Richard Stoldt practices at 2930 W Cleveland Rd, South Bend, IN 46628. The listed phone number is (574) 520-2707.

What is Richard Stoldt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Stoldt enrolled in Medicare?

Yes. Richard Stoldt is registered in the Medicare PECOS enrollment system.

What insurance does Richard Stoldt accept?

Health plans from CareSource list Richard Stoldt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Stoldt was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.