MEDICARE: DR. RICHARD JOHN RIZZO MD

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	0101047677	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00237177	OTHER		RAILROAD MEDICARE

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
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811984545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOHN RIZZO MD

Provider Business Mailing Address
First Line	:	PO BOX 71183
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28272-1183
Country	:	US
Telephone Number	:	540-686-1600
Fax Number	:	540-686-1601

Provider Business Practice Location Address
First Line	:	160 EXETER DR STE 104
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-8614
Country	:	US
Telephone Number	:	540-545-4674
Fax Number	:

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	08/17/2025

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Directions to “ DR. RICHARD JOHN RIZZO MD” Practice Location

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