Individual provider Active NPI

James Paul Richardson, M.D., M.P.H.

  • Geriatric Medicine (Family Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1336217819
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
D0027394 Issued in MD
Practice address
900 Caton Ave
Department of Medicine, Sixth Floor
Baltimore, MD 21229-5201
Phone
(410) 368-8979
Fax
(410) 368-3525
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X D0027394 MD Primary
Public Health & General Preventive Medicine Physician 2083P0901X D27394 MD
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X D27394 MD

Addresses

Primary practice location

900 Caton Ave
Department of Medicine, Sixth Floor
Baltimore, MD 21229-5201

Mailing address

900 Caton Ave
Department of Medicine, Sixth Floor
Baltimore, MD 21229-5201
Phone (410) 368-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20081028000693 MD Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Hospice/Palliative Care 8022176429 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0027394MDMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Aug 31, 2008 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 31, 2008 Accepting new patients
Union Memorial Hospital Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 440
Baltimore, MD 21229
Phone (410) 644-3890

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1336217819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "DEPARTMENT OF MEDICINE, SIXTH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8979",
            "fax_number": "410-368-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "DEPARTMENT OF MEDICINE, SIXTH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8979",
            "fax_number": "410-368-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0027394",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D27394",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D27394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.