Individual provider Active NPI

Nicole R Richardson, DO

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1023000775
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO034181 Issued in DC
Practice address
1629 K St NW Ste 300
Washington, DC 20006-1631
Phone
(202) 787-9235
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO034181 DC Primary
Internal Medicine Physician 207R00000X OS20023 FL
Internal Medicine Physician 207R00000X H0060781 MD
Internal Medicine Physician 207R00000X 0102202809 VA
Internal Medicine Physician 207R00000X U7504 TX

Addresses

Primary practice location

1629 K St NW Ste 300
Washington, DC 20006-1631

Mailing address

5614 Connecticut Ave NW # 261
Washington, DC 20015-2604
Phone (202) 787-9235

Other practice location 1

4830 W Kennedy Blvd
Tampa, FL 33609-2564
Phone (202) 787-9235

Other practice location 2

18383 Preston Rd Ste 202
Dallas, TX 75252-5487
Phone (202) 787-9235

Other practice location 3

5614 Connecticut Ave NW # 261
Washington, DC 20015-2604
Phone (202) 787-9235

Other practice location 4

3030 N Rocky Point Dr W Ste 150
Tampa, FL 33607-7200
Phone (202) 787-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, FL, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040311001528 MD Practitioner - Internal Medicine 4688563273 Reassigns benefits to 5 organizations
I20050919001087 DC Practitioner - Internal Medicine 4688563273 Reassigns benefits to 5 organizations
I20260602003649 VA Practitioner - Internal Medicine 4688563273 Reassigns benefits to 1 organization
I20260602004506 FL Practitioner - Internal Medicine 4688563273 Reassigns benefits to 1 organization
I20260603003480 TX Practitioner - Internal Medicine 4688563273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

7355 E Furnace Branch Rd
Glen Burnie Health and Rehab Ctr
Glen Burnie, MD 21060-7060
Phone (410) 766-3460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS20023FLMDInternal Medicine Physician
U7504TXMDInternal Medicine Physician
0102202809VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jan 7, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 8, 2024 Accepting new patients
M Medical Group, Inc. Internal Medicine Current Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Jan 7, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Luminis Health Anne Arundel Medical Center, Inc. PastSince Jan 1, 1990 Accepting new patients
Hospital Physician Services, LLLP Internal Medicine Past Accepting new patients
7355 Furnace Branch Road East Opco LLC Past Accepting new patients
2101 Fairland Road Operations LLC Past Accepting new patients
Anne Arundel Medical Center, Inc PastSince Jan 1, 1990 Accepting new patients
Summit Hills MD Opco Past Accepting new patients

Locations

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

7355 E Furnace Branch Rd
Glen Burnie, MD 21060
Phone (410) 426-1424

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

2015 E West Hwy
Silver Spring, MD 20910
Phone (202) 932-8149

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1023000775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 CONNECTICUT AVE NW # 261",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152604",
            "telephone_number": "202-787-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-787-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 W Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092564",
            "country_code": "US",
            "telephone_number": "202-787-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18383 Preston Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525487",
            "country_code": "US",
            "telephone_number": "202-787-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5614 Connecticut Ave NW # 261",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152604",
            "country_code": "US",
            "telephone_number": "202-787-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 N Rocky Point Dr W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336077200",
            "country_code": "US",
            "telephone_number": "202-787-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "DO034181",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20023",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0060781",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102202809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U7504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.