Kenrick S. Richardson, MD
Individual provider Active NPI Internal Medicine Physician · Cincinnati, OH
NPI 1295736049 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1295736049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-07-5358-R (OH)
- Practice address
- 2155 Dana Ave
Cincinnati, OH 45207-1340 - Phone
- (513) 843-7716
- Fax
- (513) 718-3223
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Kandg Dedicated Long-Term Care Associates LLC
Practice addresses (Care Compare)
707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone (513) 843-7716
Hospital & facility affiliations
- Good Samaritan Hospital
- University of Cincinnati Medical Center, LLC
- Chesterwood Atc
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.93 of 100
- Quality
- 86.81
- Improvement activities
- 0
- Cost
- 77.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040521000755 | OH | Practitioner - Internal Medicine | 9436140027 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Internal Medicine | Current |
Accepting new patients |
| Mvhe Inc | Internal Medicine | Current |
Accepting new patients |
| Trihealth G, LLC | Current |
Accepting new patients | |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current |
Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current |
Accepting new patients |
| K&G Dedicated Long-Term Care Associates LLC | Internal Medicine | Current |
Accepting new patients |
| Trihealth H LLC | Hospitalist | Current |
Accepting new patients |
| Trihealth G LLC | Internal Medicine | Current |
Accepting new patients |
| Dlca LLC | Internal Medicine | Past |
Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Fl 5
Cincinnati, OH 45220
Phone (513) 872-2440
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
2155 Dana Ave
Cincinnati, OH 45207
Phone (513) 601-0600
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.075358 | OH | |
| Internal Medicine Physician | 207R00000X | 35-07-5358-R | OH | Yes |
Addresses
Primary practice location
2155 Dana Ave
Cincinnati, OH 45207-1340
Mailing address
71 Vista Ridge Dr
South Lebanon, OH 45065-8755
Phone (513) 843-7632
Other practice location 1
71 Vista Ridge Dr
South Lebanon, OH 45065-8755
Phone (513) 843-7716
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2265945 | Medicaid | OH |
Other providers in Cincinnati, OH
- Jimmie Richardson
- Jomarie Gold Richardson
- Judy A Richardson
- Katrina Danielle Richardson
- Kelsey Lee Richardson
- Kevasia A Richardson
- Kristy M Richardson
- Latonya M Richardson
- Lauren Emily Richardson
- Lisa Hughes Richardson
All providers in Cincinnati, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.