Individual provider Active NPI

John W. Richard, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1124047717
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34055 Issued in KY
Practice address
989 Governors LN Ste 240
Lexington, KY 40513-1175
Phone
(859) 338-3958
Fax
(859) 368-8135
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34055 KY Primary

Addresses

Primary practice location

989 Governors LN Ste 240
Lexington, KY 40513-1175

Mailing address

989 Governors LN Ste 240
Lexington, KY 40513-1175
Phone (859) 338-3958

Other identifiers 1

IdentifierTypeStateIssuer
64340557MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031121000012 KY Practitioner - Family PracticePractitioner - Geriatric Psychiatry 2062316102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluegrass Extended Care Services LLCGroup PAC ID 4688832090, 7 clinicians

Practice addresses (Care Compare)

989 Governors LN
Suite 240
Lexington, KY 40513-1175
Phone (859) 338-3958

Hospital & facility affiliations

  • Enhabit Home Health of Kentucky Home health agency, Lexington, KY, CCN 187176
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Lexington, KY, CCN 187163
  • Caretenders Home health agency, Lexington, KY, CCN 187084
  • Commonwealth Home Health Home health agency, Lexington, KY, CCN 187109
  • Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067
  • Sayre Christian Village Nursing Home Nursing home, Lexington, KY, CCN 185248
  • Hartland Park Health & Rehabilitation Nursing home, Lexington, KY, CCN 185197
  • Pine Meadows Post Acute Nursing home, Lexington, KY, CCN 185215
  • Lexington Premier Nursing & Rehab Nursing home, Lexington, KY, CCN 185463
  • Homestead Post Acute Nursing home, Lexington, KY, CCN 185144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions33
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34055KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Extended Care Services LLC Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Pine Meadowsidence Opco, LLC Past Accepting new patients
Lexington Premier Nursing & Rehab LLC Past Accepting new patients
Elderserve, Inc. Past Accepting new patients
Northpoint Senior Services Ky I LLC Past Accepting new patients
Sayre Christian Village Nursing Home, Inc. Past Accepting new patients
Homesteadidence Opco, LLC Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Symphony Diagnostic Services No 1 LLC Past Accepting new patients

Locations

1500 Trent Blvd
Lexington, KY 40515
Phone (859) 272-2273

3775 Belleau Wood Dr
Lexington, KY 40517
Phone (859) 271-9000

1608 Versailles Rd
Lexington, KY 40504
Phone (859) 252-0871

2770 Palumbo Dr
Lexington, KY 40509
Phone (859) 263-2410

989 Governors Ln
Ste 220
Lexington, KY 40513
Phone (859) 296-7546

1608 Hill Rise Dr
Lexington, KY 40504
Phone (859) 254-2402

989 Governors Ln
Ste 240
Lexington, KY 40513

100 Sparks Ave
Nicholasville, KY 40356
Phone (859) 556-0620

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sayre Christian Village Nursing Home, Inc.Lexington, KY, CCN 185248 Skilled nursing facility Adp of the SNF Jan 1, 2020
Homestead Post AcuteLexington, KY, CCN 185144 Skilled nursing facility Contracted Managing Employee Jan 1, 2015
Pine Meadows Post AcuteLexington, KY, CCN 185215 Skilled nursing facility Contracted Managing Employee Jan 1, 2015
Lexington Premier Nursing & RehabLexington, KY, CCN 185463 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 28, 2025
Aug 28, 2025
Hartland Park Health & RehabilitationLexington, KY, CCN 185197 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1124047717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131175",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131175",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64340557",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.