Shawn Michael Richmond, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33040 Issued in IA

Practice address

410 N 12TH St
Oskaloosa, IA 52577-2495

Phone

(641) 672-3360

Fax

(641) 672-2258

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Kansas School of Med (KC/Wich/Sal), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srichmond781062@direct.unitypoint.org

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.

• Mahaska County Hospital

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659
  Medicare reassignment NPD
• Mahaska County Hospital

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1407869852
  Medicare reassignment NPD
• Family Medical Center P C

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1326012030
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Mahaska County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oskaloosa, IA
  • NPI 1275513988
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Family Medicine

  NPD (past)

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

• Mahaska County Hospital

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1164410445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 12TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772495",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "33040",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Ottumwa, P.C.
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• Courtney Reynolds
• Paige Nicole Reynolds, PT, DPT
• Lea Rice
• Renee Elizabeth Rifffle, PTA
• Paul Arthur Riggs, M.D.
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc
• River Hills Community Health Center Inc

• Family Medicine Physician in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.

Verify at the official NPI Registry.