Active NPI
Richard A. Shelton, M.D.
- Internal Medicine Physician
- Richmond, KY
National Provider Identifier
1326069626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23249
- Practice address
- 801 Eastern Byp
Richmond, KY 40475-2751 - Phone
- (859) 625-3836
- Fax
- (859) 625-3535
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23249 | KY | Primary |
Addresses
Primary practice location
801 Eastern Byp
Richmond, KY 40475-2751
Mailing address
801 Eastern Byp
Richmond, KY 40475-2751
Phone (859) 625-3836
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37903705 | Other | KY | MEDICAID LAB GROUP |
| 4000501 | Other | KY | MEDICARE LAB NUMBER |
| 64232499 | Medicaid | KY | |
| CB5773 | Other | KY | RR MEDICARE GROUP |
| 110142319 | Other | KY | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23249 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Healthcare System, Inc. | Past | Accepting new patients | |
| Pattie a. Clay Infirmary Assn | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baptist Health
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1639364201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1326069626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 EASTERN BYP",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752751",
"telephone_number": "859-625-3836",
"fax_number": "859-625-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EASTERN BYP",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752751",
"telephone_number": "859-625-3836",
"fax_number": "859-625-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "RICHARD",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "23249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LAB GROUP",
"identifier": "37903705",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LAB NUMBER",
"identifier": "4000501",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64232499",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CB5773",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "110142319",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.