Individual provider Active NPI

Jonathan David Richey, DO, MHA

  • Dermatology Physician
  • McKinney, TX
National Provider Identifier
1104085216
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P2352 Issued in TX
Practice address
5236 W University Dr Ste 2200
McKinney, TX 75071-8113
Phone
(866) 406-3376
Fax
(469) 406-1160
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101017631 MI
Dermatology Physician 207N00000X P2352 TX Primary

Addresses

Primary practice location

5236 W University Dr Ste 2200
McKinney, TX 75071-8113

Mailing address

5236 W University Dr Ste 2200
McKinney, TX 75071-8113
Phone (866) 406-3376

Other identifiers 2

IdentifierTypeStateIssuer
P01149339OtherTXMEDICARE RAILROAD
305417301MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drrichey@dermmckinney.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120925000578 TX Practitioner - Dermatology 3870777196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of America PLLCGroup PAC ID 5294255006, 4 clinicians

Practice addresses (Care Compare)

5236 W University Dr
Suite 2200
McKinney, TX 75071-8113
Phone (469) 800-5325

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue1-10
Removal of skin lesions820
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Dermatology Current Accepting new patients
Dermatology Specialists of America PLLC Dermatology CurrentSince Jan 19, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 4, 2012 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 4, 2012 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5236 W University Dr
Ste 2000
McKinney, TX 75071
Phone (469) 800-5036

5236 W University Dr
Ste 2200
McKinney, TX 75071
Phone (469) 800-5325

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1104085216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR STE 2200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718113",
            "telephone_number": "866-406-3376",
            "fax_number": "469-406-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR STE 2200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718113",
            "telephone_number": "866-406-3376",
            "fax_number": "469-406-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DO, MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101017631",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P2352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01149339",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305417301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drrichey@dermmckinney.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 2200",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.