MEDICARE: RICHARD WILLIAM RITTENHOUSE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	008940	AZ
2	2085R0202X	Diagnostic Radiology Physician	18836	CA
3	2085R0202X	Diagnostic Radiology Physician	68018	CT
4	2085R0202X	Diagnostic Radiology Physician	C2-0023873	DE
5	2085R0202X	Diagnostic Radiology Physician	T036	TX
6	2085R0202X	Diagnostic Radiology Physician	49597	MN
7	2085R0202X	Diagnostic Radiology Physician	87148	GA
8	2085R0202X	Diagnostic Radiology Physician	036.154219	IL
9	2085R0202X	Diagnostic Radiology Physician	02006146A	IN
10	2085R0202X	Diagnostic Radiology Physician	DO-05687	IA
11	2085R0202X	Diagnostic Radiology Physician	04816	KY
12	2085R0202X	Diagnostic Radiology Physician	333535	LA
13	2085R0202X	Diagnostic Radiology Physician	5101025860	MI
14	2085R0202X	Diagnostic Radiology Physician	25MB11014400	MO
15	2085R0202X	Diagnostic Radiology Physician	OS17200	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477751584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD WILLIAM RITTENHOUSE DO

Provider Business Mailing Address
First Line	:	122554 RIATA VISTA CIRCLE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-4518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	122554 RIATA VISTA CIRCLE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-4518
Country	:	US
Telephone Number	:	512-956-5229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	08/22/2025

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