RICHARD PRETORIUS MD, MPH – NPI #1013900505
Family Medicine

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.

RICHARD PRETORIUS is a physician located in IRVING, NY. NPPES has assigned the NPI number 1013900505 to RICHARD PRETORIUS on August 30, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Nov 18, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICHARD PRETORIUS below.

NPI Profile for
RICHARD PRETORIUS

NPI Number
1013900505
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD PRETORIUS
Credentials
MD, MPH
Primary location
845 ROUTES 5 & 20
IRVING, NY 14081-9706
Phone: (716) 951-7273 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RICHARD PRETORIUS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100319390
MEDICAIDNY02560378
MEDICAIDOH3120563
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OH 35-057683
207P00000X
- Emergency Medicine
KY 46970

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RICHARD PRETORIUS is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH SANDSTONE
      705 LUNDORFF DRIVE SOUTH
      SANDSTONE, MN 55072
    • HORN MEMORIAL HOSPITAL
      701 E 2ND ST
      IDA GROVE, IA 51445
    • PERHAM HEALTH
      1000 CONEY STREET WEST
      PERHAM, MN 56573
    • ST ANTHONY REGIONAL HOSPITAL & NURSING HOME
      311 SOUTH CLARK STREET
      CARROLL, IA 51401
    • ST FRANCIS MEDICAL CENTER
      2400 ST FRANCIS DRIVE
      BRECKENRIDGE, MN 56520

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.