Individual provider Active NPI

Christopher Jesse Richardson, D.O.

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1093745408
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
231738 Issued in NY
Practice address
1415 Portland Ave
Suite 245
Rochester, NY 14621-3038
Phone
(585) 922-4891
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 231738 NY
Surgery Physician 208600000X 231738 NY Primary

Addresses

Primary practice location

1415 Portland Ave
Suite 245
Rochester, NY 14621-3038

Mailing address

1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone (585) 922-4891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000509 NY Practitioner - Hand SurgeryPractitioner - General Surgery 7911947841 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Surgicalist Services, P.C.Group PAC ID 7911306956, 9 clinicians

Practice addresses (Care Compare)

460 Gidney Ave
Newburgh, NY 12550-3117
Phone (845) 458-4700

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231738NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Apr 1, 2006 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
Rochester General Hospital Surgery CurrentSince Apr 1, 2006 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2020 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 1, 2012 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jun 1, 2022 Accepting new patients
New York Surgicalist Services, P.C. Surgery CurrentSince Jun 1, 2022 Accepting new patients
St. Luke'S Cornwall Hospital Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

1445 Portland Ave
Ste 301
Rochester, NY 14621
Phone (585) 922-4874

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 and National Provider Directory roles.

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1093745408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 245",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "address_2": "SUITE 245",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-922-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JESSE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "231738",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "231738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.