Individual provider Active NPI

Richard Anthony Aballay, MD

  • General Practice Physician
  • Lewisburg, TN
National Provider Identifier
1063577377
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04-46567 Issued in KS
Practice address
529 W Commerce St
Lewisburg, TN 37091-3219
Phone
(931) 270-9729
NPI assigned
Dec 27, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ML002796 PA
Family Medicine Physician 207Q00000X ML002796 PA
Family Medicine Physician 207Q00000X 22698 WV
General Practice Physician 208D00000X 37440 OK
General Practice Physician 208D00000X 42991 TN
General Practice Physician 208D00000X 04-46567 KS Primary

Addresses

Primary practice location

529 W Commerce St
Lewisburg, TN 37091-3219

Mailing address

PO Box 751
Hulbert, OK 74441-0751
Phone (918) 772-3390

Other practice location 1

1500 E Downing St Ste 214
Tahlequah, OK 74464-3379
Phone (918) 431-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK, KS, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080826000835 TN Practitioner - General PracticePractitioner - Family Practice 4082615166 Reassigns benefits to 2 organizations
I20210622002805 OK Practitioner - General Practice 4082615166 Reassigns benefits to 1 organization
I20221019000941 KS Practitioner - General Practice 4082615166 Reassigns benefits to 1 organization
I20251031001576 FL Practitioner - General Practice 4082615166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Kansas Family Health Care IncGroup PAC ID 4486565181, shared by 5 NPIs, 17 clinicians
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700

30555 US Hwy 19 N
Palm Harbor, FL 34684-4415
Phone (844) 665-4827

522 Broadway St
Larned, KS 67550-3042
Phone (620) 804-6100

609 E 1St Ave
St John, KS 67576-2223
Phone (620) 792-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML002796PAMDEmergency Medicine Physician
22698WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Family Medicine, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Heart of Kansas Family Health Care, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Heart of Kansas Family Health Care, Inc. Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
Guidewell Sanitas I, LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Jun 14, 2021 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc. CurrentSince Jun 14, 2021 Accepting new patients
Aj Medical Services, Inc Family Medicine Past Accepting new patients
Washington Hospital Emergency Medicine Past Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

30555 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 214-2079

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

1905 19th St
Great Bend, KS 67530
Phone (620) 792-5700

412 Grand Ave
Stafford, KS 67578
Phone (620) 234-2700

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

1500 E Downing St
Ste 101
Tahlequah, OK 74464
Phone (918) 456-2549

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

1500 E Downing St
Ste 214
Tahlequah, OK 74464
Phone (918) 413-0202

1325 W Main St
Ste 101
Franklin, TN 37064
Phone (615) 465-0000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDFAA
  • Direct secure messaging: richard.aballay.p1@direct.edcomed.nextgenshare.com

Organizations & group practices 11

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 1

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1063577377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "HULBERT",
            "state": "OK",
            "postal_code": "744410751",
            "telephone_number": "918-772-3390",
            "fax_number": "918-772-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913219",
            "telephone_number": "931-270-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Downing St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643379",
            "country_code": "US",
            "telephone_number": "918-431-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABALLAY",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "ML002796",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "ML002796",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22698",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "37440",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "42991",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-46567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.