NPIMap

Individual provider Active NPI

Kenrick S. Richardson, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1295736049
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-07-5358-R Issued in OH
Practice address
2155 Dana Ave
Cincinnati, OH 45207-1340
Phone
(513) 843-7716
Fax
(513) 718-3223
NPI assigned
Aug 2, 2005
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.075358 OH
Internal Medicine Physician 207R00000X 35-07-5358-R OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000755 OH Practitioner - Internal Medicine 9436140027 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 0345572244, 6 clinicians

Practice addresses (Care Compare)

707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone (513) 843-7716

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.93 of 100Reported as individual
Quality
86.81
Improvement activities
0
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.075358OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jan 29, 2019 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Jan 29, 2019 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Jan 29, 2019 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Trihealth H LLC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
K&G Dedicated Long-Term Care Associates LLC Internal Medicine CurrentSince Jun 18, 2019 Accepting new patients
Trihealth H LLC Hospitalist CurrentSince Jan 1, 2011 Accepting new patients
Dlca LLC Internal Medicine PastSince Jan 1, 2007 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

2155 Dana Ave
Cincinnati, OH 45207
Phone (513) 601-0600

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Fl 5
Cincinnati, OH 45220
Phone (513) 872-2440

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1295736049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 VISTA RIDGE DR",
            "city": "SOUTH LEBANON",
            "state": "OH",
            "postal_code": "450658755",
            "telephone_number": "513-843-7632",
            "fax_number": "513-843-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 DANA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071340",
            "telephone_number": "513-843-7716",
            "fax_number": "513-718-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Vista Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "South Lebanon",
            "state": "OH",
            "postal_code": "450658755",
            "country_code": "US",
            "telephone_number": "513-843-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KENRICK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.075358",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-5358-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.