Melvin D Richardson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01055493A Issued in IN

Practice address

1021 W 5TH Ave
Gary, IN 46402-1703

Phone

(219) 880-1190

Fax

(219) 880-0784

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Healthnet IncGroup PAC ID 6305852344, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrichardson105533@direct.ochin.org

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.

• Community Healthnet Inc

  • Community Health Clinic/Center
  • Gary, IN
  • NPI 1952332298

  IN

  Medicare reassignment Care Compare group NPD
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1811650716
  Care Compare group NPD
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1164161469
  Care Compare group NPD (past)
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1649539933
  Care Compare group NPD (past)
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1891262762

  Family Medicine

  Care Compare group NPD (past)
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1952660243
  Care Compare group NPD (past)
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1497007876
  Care Compare group
• Community Healthnet, Inc

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1881946267
  Care Compare group

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1336158484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-880-1190",
            "fax_number": "219-880-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021703",
            "telephone_number": "219-880-1190",
            "fax_number": "219-880-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MELVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055493A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200373330",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, BCBS",
            "identifier": "000000220255",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restoration of Eagles International
• Restore Therapy Services LLC
• Lisa Rias
• Sharnita L Rice, NURSE PRACTITIONER
• Nicole Yvette Richards, FNP
• Merlene T Richardson, FNP-BC
• Shania Richardson
• Suzanne Richardson, M.S., CCC-SLP
• Tiffany Richardson
• Lela Jane Riordan, COTA

• All providers in Gary, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.