Individual provider Active NPI

Richard Liston, MD

  • Specialist
  • Dayton, OH
National Provider Identifier
1285653774
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35066933 Issued in OH
Practice address
89 Sylvania Dr
Dayton, OH 45440-3281
Phone
(937) 320-2020
Fax
(937) 320-0504
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35066933 OH Primary

Addresses

Primary practice location

89 Sylvania Dr
Dayton, OH 45440-3281

Mailing address

89 Sylvania Dr
Dayton, OH 45440-3281
Phone (937) 320-2020

Other identifiers 5

IdentifierTypeStateIssuer
1285653774OtherOHNPI
0820189OtherOHUNITED HEALTHCARE
0972425MedicaidOH
000000005732OtherOHANTHEM
180028441OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100706000327 OH Practitioner - Ophthalmology 4688608789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Feb 1, 2019 Accepting new patients
Cei Physicians PSC LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

77 E Woodbury Dr
Dayton, OH 45415
Phone (937) 276-2020

89 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-2020

Interoperability endpoints

  • Direct secure messaging: richard.liston.p1@direct.cei.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1285653774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SYLVANIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403281",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTON",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35066933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285653774",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0820189",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000005732",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180028441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.