Active NPI
Timothy Richardson, D.O.
- Neuropathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- 294695
- Practice address
- 1468 Madison Ave BLDG 15.58
New York, NY 10029-6508 - Phone
- (713) 408-2249
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1104162700
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1326389826
Neuropathology
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1962743575
Neuropathology
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8014
Hospital & facility affiliations
- Mount Sinai Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724000476 | NY | Practitioner - Pathology | 1355698218 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Neuropathology | Current | Accepting new patients |
| Fpa Hospital Based | Neuropathology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
1468 Madison Ave
New York, NY 10029
Phone (212) 241-0440
1468 Madison Ave
Bldg 1558
New York, NY 10029
Phone (713) 408-2249
5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
#7750
San Antonio, TX 78229
Phone (210) 567-4001
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | 294695 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1468 Madison Ave BLDG 15.58
New York, NY 10029-6508
Mailing address
PO Box 660599
Dallas, TX 75266-0599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2022.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1124448667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE BLDG 15.58",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "713-408-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "TIMOTHY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "NY",
"license": "294695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.