Active NPI
Kenneth Herbert Richmond, M.D.
- Otolaryngology Physician
- Louisville, KY
National Provider Identifier
1346246873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 24518
- Practice address
- 3515 Poplar Level Rd
Louisville, KY 40213-1009 - Phone
- (502) 459-3760
- Fax
- (502) 459-3717
- NPI assigned
- Jun 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | KY | ||
| Otolaryngology Physician | 207Y00000X | 24518 | KY | Primary |
Addresses
Primary practice location
3515 Poplar Level Rd
Louisville, KY 40213-1009
Mailing address
PO Box 950116
Louisville, KY 40295-0116
Phone (502) 893-0159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64245186 | Medicaid | KY | |
| 000000045107 | Other | KY | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville ENT Associates | Otolaryngology | Past | Accepting new patients |
| Merit Anesthesia PLLC | 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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1528118890
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1346246873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950116",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950116",
"telephone_number": "502-893-0159",
"fax_number": "502-213-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 POPLAR LEVEL RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402131009",
"telephone_number": "502-459-3760",
"fax_number": "502-459-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "KENNETH",
"middle_name": "HERBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "24518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64245186",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000045107",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.