Individual provider Active NPI

Thomas A Richardson, M.D.

  • Emergency Medicine Physician
  • Danville, IN
National Provider Identifier
1124062070
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01033265 Issued in IN
Practice address
1000 E Main St
Emergency Department
Danville, IN 46122-1948
Phone
(317) 745-3450
Fax
(317) 745-3766
NPI assigned
Jun 15, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01033265 IN Primary

Addresses

Primary practice location

1000 E Main St
Emergency Department
Danville, IN 46122-1948

Mailing address

1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451

Other practice location 1

17600 Shamrock Blvd
Westfield, IN 46074-7002
Phone (317) 776-7250

Other practice location 2

395 Westfield Rd
Noblesville, IN 46060-1434
Phone (317) 776-7250

Other identifiers 2

IdentifierTypeStateIssuer
010045962OtherINRAILROAD MEDICARE PIN
100378940MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trichardson228407@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041214000565 IN Practitioner - Emergency Medicine 4789641432 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01033265INMDEmergency Medicine Physician
01033265AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Oct 1, 2020 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Oct 1, 2020 Accepting new patients
Lafayette Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 21, 2009 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Emergency Medical Group, Inc. Emergency Medicine Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

5492 N Ronald Reagan Pkwy
Brownsburg, IN 46112
Phone (317) 745-6139

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: trichardson228407@direct-prd.stelizabeth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1124062070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221948",
            "telephone_number": "317-745-4451",
            "fax_number": "317-718-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221948",
            "telephone_number": "317-745-3450",
            "fax_number": "317-745-3766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17600 Shamrock Blvd",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460747002",
            "country_code": "US",
            "telephone_number": "317-776-7250",
            "fax_number": "317-776-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Westfield Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601434",
            "country_code": "US",
            "telephone_number": "317-776-7250",
            "fax_number": "317-776-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01033265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "010045962",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100378940",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trichardson228407@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1000 E Main St",
            "address_2": "Emergency Department",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.