Individual provider Active NPI

Charles Keith Richard Jr.

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1225272545
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
205076 Issued in LA
Practice address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone
(318) 840-3800
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 205076 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

5825 Airline Highway
Baton Rouge, LA 70805
Phone (318) 840-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120312000363 LA Practitioner - Emergency Medicine 5193984102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Acute Care Associates, LLCGroup PAC ID 0547390056, 26 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.68 of 100Reported as individual
Quality
60.24
Improvement activities
0
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205076LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Acute Care Associates, LLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
C & M Medical Services, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince May 15, 2012 Accepting new patients

Locations

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 3

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 1

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1225272545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HIGHWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70805",
            "telephone_number": "318-840-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "318-840-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "CHARLES",
        "middle_name": "KEITH",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "205076",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.