Individual provider Active NPI

Richard Foreman

  • Gerontology Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1033586680
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.18027 Issued in OH
Practice address
2350 Miami Valley Dr Ste 210
Centerville, OH 45459-4778
Phone
(937) 276-8320
Fax
(937) 276-8325
NPI assigned
Aug 31, 2015
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA18027NP OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.18027 OH Primary

Addresses

Primary practice location

2350 Miami Valley Dr Ste 210
Centerville, OH 45459-4778

Mailing address

3170 Kettering Blvd BLDG B2ND
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

2300 Miami Valley Dr Ste 470
Centerville, OH 45459-4779
Phone (937) 276-8320

Other practice location 2

200 Medical Center Dr
Middletown, OH 45005-5200
Phone (937) 276-8320

Other practice location 3

742 Sweitzer St Ste 1
Greenville, OH 45331-1099
Phone (937) 547-9701

Other practice location 4

3130 N County Road 25A Ste 107
Troy, OH 45373-1337
Phone (937) 703-6270

Other practice location 5

9000 N Main St Ste G-35
Englewood, OH 45415-1182
Phone (937) 276-8320

Other practice location 6

400 Sugar Camp Cir Ste 200
Oakwood, OH 45409-1981
Phone (937) 276-8320

Other practice location 7

3006 N County Road 25A Ste 101
Troy, OH 45373-1373
Phone (937) 703-6270

Other practice location 8

501 Atrium Dr Ste 201
Middletown, OH 45005-5165
Phone (513) 974-8780

Other identifiers 1

IdentifierTypeStateIssuer
0143569MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002878 OH Practitioner - Nurse Practitioner 9335457589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

9000 N Main St
Suite 333
Englewood, OH 45415-1185
Phone (937) 276-8320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jan 30, 2023 Accepting new patients
Premier Health Specialists Inc CurrentSince Jan 30, 2023 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

742 Sweitzer St
Ste 1
Greenville, OH 45331
Phone (937) 276-8320

501 Atrium Dr
Ste 201
Middletown, OH 45005
Phone (513) 974-8780

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

3170 Kettering Blvd
Bldg B2ND
Moraine, OH 45439

400 Sugar Camp Cir
Ste 200
Oakwood, OH 45409
Phone (937) 262-7819

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3130 N County Road 25A
Ste 107
Troy, OH 45373
Phone (937) 297-8253

Interoperability endpoints

  • Direct secure messaging: rforeman633124@direct.ketteringhealth.org

Organizations & group practices 3

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

Hospital & facility affiliations 5

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1033586680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2ND",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR STE 210",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Miami Valley Dr Ste 470",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594779",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055200",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 Sweitzer St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311099",
            "country_code": "US",
            "telephone_number": "937-547-9701",
            "fax_number": "937-547-9752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A Ste 107",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste G-35",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151182",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sugar Camp Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "OH",
            "postal_code": "454091981",
            "country_code": "US",
            "telephone_number": "937-276-8320",
            "fax_number": "937-276-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 N County Road 25A Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731373",
            "country_code": "US",
            "telephone_number": "937-703-6270",
            "fax_number": "937-641-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "513-974-8780",
            "fax_number": "513-369-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA18027NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.18027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.