NPIMap

Edward Paul Richert, M.D.

Individual provider Active NPI Family Medicine Physician · Alturas, CA

NPI 1376586529 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1376586529
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
G35911 (CA)
Practice address
229 McDowell St
Alturas, CA 96101
Phone
(530) 233-7052
Fax
(530) 233-4302
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Family Practice
Also: Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Last Frontier Healthcare District (31 clinicians)

Practice addresses (Care Compare)

1111 N Nagle St
Alturas, CA 96101-3840

Hospital & facility affiliations

  • Modoc Medical Center Hospital · Alturas, CA · CCN 051330
  • Sky Lakes Medical Center Hospital · Klamath Falls, OR · CCN 380050
  • Lake District Hospital Hospital · Lakeview, OR · CCN 381309

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Modoc Medical Center
Alturas, CA · CCN 051330		 Hospital Contracted Managing Employee
Corporate Officer		 Dec 7, 2007
Jun 1, 2012
Last Frontier Healthcare District
Alturas, CA · CCN 555420		 Skilled nursing facility Corporate Officer
Corporate Director
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2020
Jan 1, 2020
Jan 1, 2025
Jan 1, 2025
Modoc Medical Center Family Practice Clinic
Alturas, CA · CCN 053988		 Rural health clinic Corporate Officer Jun 1, 2012
Canby Family Practice Clinic
Canby, CA · CCN 058714		 Rural health clinic Corporate Officer Jun 1, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20091009000185 CA Practitioner - Family Practice
Practitioner - Emergency Medicine		 6901989052 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35911CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Last Frontier Healthcare District Current
since Jul 21, 2009		 Accepting new patients
Edward P. Richert, M.D., Inc. Family Medicine Past Accepting new patients
Last Frontier Healthcare District Past Accepting new patients

Locations

229 W McDowell Ave
Alturas, CA 96101
Phone (530) 233-5131

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

Interoperability endpoints

  • Direct secure messaging: erichert@mmc.securechart.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G35911 CA Yes

Addresses

Primary practice location

229 McDowell St
Alturas, CA 96101

Mailing address

710 E 5TH St
Alturas, CA 96101-3506
Phone (530) 233-4680

Other identifiers

IdentifierTypeStateIssuer
00G359110MedicaidCA

Other providers in Alturas, CA

All providers in Alturas, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.