Individual provider Active NPI

Jonathan D Richmond, M.D.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Longmeadow, MA
National Provider Identifier
1184819583
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
239308 Issued in MA
Practice address
21 Dwight Rd Ste 204
Longmeadow, MA 01106-1765
Phone
(413) 794-5600
Fax
(413) 794-2733
NPI assigned
Sep 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101265377 VA
Physical Medicine & Rehabilitation Physician 208100000X 23824 MS
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 239308 MA Primary

Addresses

Primary practice location

21 Dwight Rd Ste 204
Longmeadow, MA 01106-1765

Mailing address

280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MS, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100929001537 MA Practitioner - Physical Medicine and Rehabilitation 2062538770 Reassigns benefits to 1 organization
I20150612001419 MS Practitioner - Physical Medicine and Rehabilitation 2062538770 Reassigns benefits to 1 organization
I20190314002322 VA Practitioner - Physical Medicine and Rehabilitation 2062538770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

21 Dwight Rd
Suite 204
Longmeadow, MA 01106-1765
Phone (413) 794-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
239308MAMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
721WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Physical Medicine & Rehabilitation CurrentSince May 13, 2015 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 1, 2019 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince May 13, 2015 Accepting new patients
Danville Physician Practices LLC CurrentSince Mar 1, 2019 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Midamerica Heart & Lung Surgeons, P.C. Past Accepting new patients

Locations

4381 S Eason Blvd
Ste 202
Tupelo, MS 38801
Phone (662) 377-6470

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

4381 S Eason Blvd
Ste 301
Tupelo, MS 38801
Phone (662) 377-3008

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1184819583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DWIGHT RD STE 204",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061765",
            "telephone_number": "413-794-5600",
            "fax_number": "413-794-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101265377",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "23824",
            "primary": false
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "239308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.