Active NPI
Paul E.L. Richardson, M.D.
- Urology Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35033
- Practice address
- 3410 Kimball Ave
Waterloo, IA 50702-5735 - Phone
- (319) 234-2649
- Fax
- (319) 233-2430
- NPI assigned
- Oct 24, 2005
- Last updated
- Jun 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35033 | IA | Primary |
| Urology Physician | 208800000X | MD489293C | PA | |
| Urology Physician | 208800000X | 78018 | MN |
Addresses
Primary practice location
3410 Kimball Ave
Waterloo, IA 50702-5735
Mailing address
3410 Kimball Ave
Waterloo, IA 50702-5735
Phone (319) 234-2649
Other practice location 1
450 S Washington St
Gettysburg, PA 17325-2500
Phone (717) 339-3105
Other practice location 2
1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421014941-22 | Other | IA | JOHN DEERE |
| 34082 | Other | IA | BCBS OF IOWA |
| P00050800 | Other | IA | RAILROAD MEDICARE |
| 168627 | Other | IA | COVENTRY HMO |
| 0289181 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MN, WV, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Howard University College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 S Washington St
Gettysburg, PA 17325-2516
Phone (717) 851-6120
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35033 | IA | MD | Urology Physician |
| MD489293C | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Urology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Northwest Iowa Dermatology LLC | Past | Accepting new patients |
Locations
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160
450 S Washington St
Gettysburg, PA 17325
Phone (717) 337-4487
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
Interoperability endpoints
- prichardson476893@wellspan.direct-ci.com
Organizations & group practices 12
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Urology Physician
- Waterloo, IA
- NPI 1730553918
-
dba Hartley Family Care of Spencer Hospital
- Clinic/Center
- Hartley, IA
- NPI 1225767338
-
- Rural Acute Care Hospital
- Spencer, IA
- NPI 1255328621
-
dba Iowa Spine Care
- Orthopaedic Surgery Physician
- Spencer, IA
- NPI 1316432826
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Waynesboro, PA
- NPI 1851097380
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Dermatology Physician
- Algona, IA
- NPI 1962217778
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1124018999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 KIMBALL AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025735",
"telephone_number": "319-234-2649",
"fax_number": "319-233-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 KIMBALL AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025735",
"telephone_number": "319-234-2649",
"fax_number": "319-233-2430"
}
],
"practiceLocations": [
{
"address_1": "450 S Washington St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252500",
"country_code": "US",
"telephone_number": "717-339-3105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1650 4th St SE",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559044717",
"country_code": "US",
"telephone_number": "507-529-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "PAUL",
"middle_name": "E.L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IA",
"license": "35033",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD489293C",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "78018",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "421014941-22",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "34082",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00050800",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HMO",
"identifier": "168627",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0289181",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.