Individual provider Active NPI

Richard Marston Gillespie, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Burbank, CA
National Provider Identifier
1306040266
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C198640 Issued in CA
Practice address
181 S Buena Vista St FL 4
Burbank, CA 91505-4504
Phone
(818) 748-4942
Fax
(818) 840-7064
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 61910 AZ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C198640 CA Primary

Addresses

Primary practice location

181 S Buena Vista St FL 4
Burbank, CA 91505-4504

Mailing address

181 S Buena Vista St FL 4
Burbank, CA 91505-4504
Phone (818) 748-4942

Other practice location 1

10210 N 92nd St Ste 300
Scottsdale, AZ 85258-4525
Phone (480) 882-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI, CA3 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
I20210204002561 AZ Practitioner - Cardiac Surgery 1850579566 Reassigns benefits to 1 organization
I20240812002869 MI Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1850579566 Reassigns benefits to 2 organizations
I20241204002356 CA Practitioner - Thoracic Surgery 1850579566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

181 S Buena Vista St
FL 4
Burbank, CA 91505-4504
Phone (818) 840-0921

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C198640CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Providence Medical Institute CurrentSince Jan 1, 2025 Accepting new patients
Bronson Battle Creek Hospital Surgery CurrentSince Sep 1, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Sep 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 1, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 1, 2021 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10210 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 882-7750

181 S Buena Vista St
#4
Burbank, CA 91505
Phone (818) 840-0921

181 S Buena Vista St
Fl 4
Burbank, CA 91505
Phone (818) 840-0921

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

363 Fremont St
Ste 101
Battle Creek, MI 49017
Phone (269) 245-8350

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1306040266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST FL 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4942",
            "fax_number": "818-840-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST FL 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4942",
            "fax_number": "818-840-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 N 92nd St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584525",
            "country_code": "US",
            "telephone_number": "480-882-7750",
            "fax_number": "480-882-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "RICHARD",
        "middle_name": "MARSTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "61910",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C198640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.