MR. RICHARD LOUIS GRUENEWALD M.D.
NPI 1184671166
Internal Medicine - Medical Oncology in Owensboro, KY
NPI Status: Active since May 27, 2006
Contact Information
3638 TREEHAVEN BND
OWENSBORO, KY
ZIP 42303
Phone: (270) 485-1238
Fax: (270) 684-4606
- Individual
- Male
- Internal Medicine
- Medical Oncology
- Medicare Quality Reporting
About RICHARD GRUENEWALD
This page provides the complete NPI Profile along with additional information for Richard Gruenewald, an internist established in Owensboro, Kentucky with a medical specialization in Internal Medicine, focusing in medical oncology . The healthcare provider is registered in the NPI registry with number 1184671166 assigned on May 2006. The practitioner's primary taxonomy code is 207RX0202X with license number 27791 (KY). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1184671166
- Provider Name
- MR. RICHARD LOUIS GRUENEWALD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3638 TREEHAVEN BND OWENSBORO, KY 42303
- Location Phone
- (270) 485-1238
- Location Fax
- (270) 684-4606
- Mailing Address
- 3638 TREEHAVEN BND OWENSBORO, KY 42303
- Mailing Phone
- (270) 485-1238
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 10-18-2013
- Code Navigator
An internist like Richard Gruenewald is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Medical Oncology
- Taxonomy Code
- 207RX0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 27791
- License State
- KY
- Taxonomy Description
- An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000754876 | OTHER (01) | KY | BCBS |
| K034121 | MEDICARE PIN (08) | KY | |
| 100024520A | MEDICAID (05) | IN | |
| K034120 | MEDICARE PIN (08) | KY | |
| 000000754876 | OTHER (01) | KY | BCBS TROVER |
| A24105 | MEDICARE UPIN (02) | KY | |
| P01079958 | OTHER (01) | KY | RR MEDICARE TROVER |
| 64277916 | MEDICAID (05) | KY | |
| 1518001 | MEDICARE PIN (08) | KY |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184671166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184671166, enumerated as an "individual" on May 27, 2006.
The provider is located at 3638 TREEHAVEN BND OWENSBORO, KY 42303 and the phone number is (270) 485-1238.
Internal Medicine with taxonomy code 207RX0202X and a focus in Medical Oncology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
