1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ETHAN RICH DO
NPI 1619789096
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since January 23, 2025PECOS Enrolled
7000 WASHBURN AVE S, MINNEAPOLIS, MN 55423(612) 481-2723 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ethan Rich Do NPPES

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

ETHAN RICH DO (NPI 1619789096) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619789096
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN RICHCredential: DO
Location Address7000 WASHBURN AVE SMinneapolis, MN 55423-2857
Mailing Address7000 Washburn Ave SMinneapolis, MN 55423-2857 · (612) 481-2723
Phone(612) 481-2723
Sole ProprietorNo
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1619789096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7000 WASHBURN AVE S, Minneapolis, MN 55423
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Rich Do 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.

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 Ethan Rich's NPI number?

The NPI number for Ethan Rich is 1619789096. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Ethan Rich located?

Ethan Rich practices at 7000 Washburn Ave S, Minneapolis, MN 55423. The listed phone number is (612) 481-2723.

What is Ethan Rich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Rich enrolled in Medicare?

Yes. Ethan Rich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Rich was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.