Richard T David, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1367 Issued in TX

Practice address

115 Medical Cir Ste 100
Athens, TX 75751-9004

Phone

(903) 603-7067

Fax

(903) 603-7595

NPI assigned

Jun 17, 2005

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Baylor College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Community Clinic IncGroup PAC ID 3678902905, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Royse City, TX, CCN 679283
• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
• Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdavid355441@ahs.direct-ci.com

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.

• East Texas Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gun Barrel City, TX
  • NPI 1033752456

  Family Medicine

  Medicare reassignment Care Compare group NPD
• East Texas Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, TX
  • NPI 1497568513
  NPD

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

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  Care Compare affiliation
• Banner Health Services, Inc.

  dba Angels Care Home Health of Dallas

  • Home Health Agency
  • Royse City, TX
  • NPI 1144225327
  Care Compare affiliation
• Tyler Regional Hospital LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1407364847
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1104821800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519004",
            "telephone_number": "903-603-7067",
            "fax_number": "903-603-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MEDICAL CIR STE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519004",
            "telephone_number": "903-603-7067",
            "fax_number": "903-603-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751565312",
            "country_code": "US",
            "telephone_number": "903-887-1011",
            "fax_number": "903-603-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "RICHARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136259201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80F793",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britne A Curran, ANP
• CVS Pharmacy Inc (CVS Pharmacy #07295)
• Cypress Health Care Inc. (Athens Healthcare and Rehabilitation Center)
• Dan Keech MD PA
• Dawn Dansby
• Hunter Christian Davis
• Latoria D Davis, FNP-C
• DCS Medical PA
• Heather Diann Derosa-Cain
• Robert Bryan Dorman, MD

• Family Medicine Physician in Athens, TX
• Providers in Athens, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.