Individual provider Active NPI

Timothy Kyle Richmond, M.D.

  • Pediatrics Physician
  • Brookville, IN
National Provider Identifier
1124405246
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.133324 Issued in OH
Practice address
10058 Cooley Rd
Brookville, IN 47012-9509
Phone
(765) 328-4324
NPI assigned
Apr 27, 2015
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.133324 OH Primary

Addresses

Primary practice location

10058 Cooley Rd
Brookville, IN 47012-9509

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-1000

Other practice location 1

5141 Morning Sun Rd
Oxford, OH 45056-9629
Phone (513) 523-2156

Other practice location 2

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trichmond45037@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180702003538 OH Practitioner - Pediatric Medicine 5395091466 Reassigns benefits to 2 organizations
I20240827002004 IN Practitioner - Pediatric Medicine 5395091466 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth Physicians of Indiana Inc CurrentSince Jun 20, 2024 Accepting new patients
Trihealth G, LLC CurrentSince Jul 1, 2022 Accepting new patients
Trihealth Physicians of Indiana, Inc. CurrentSince Jun 20, 2024 Accepting new patients
Trihealth G LLC Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Trihealth Physicians of Indiana, Inc Current Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Jun 13, 2018 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics CurrentSince Jun 13, 2018 Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. Past Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients

Locations

10058 Cooley Rd
Brookville, IN 47012
Phone (765) 647-0808

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

Interoperability endpoints

  • Direct secure messaging: trichmond358252@direct.trihealth.com

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, 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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1124405246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 COOLEY RD",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470129509",
            "telephone_number": "765-328-4324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5141 Morning Sun Rd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450569629",
            "country_code": "US",
            "telephone_number": "513-523-2156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Perkins Sq",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44308",
            "country_code": "US",
            "telephone_number": "330-543-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "TIMOTHY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.133324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trichmond45037@direct.chmca.org",
            "affiliation": "N",
            "address_1": "1 Perkins Sq",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookville, IN

Sources for this page

Verify at the official NPI Registry.