Individual provider Active NPI

Richard Santucci, RD

  • Registered Dietitian
  • Cincinnati, OH
National Provider Identifier
1407151012
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.08248 Issued in OH
Practice address
3874 Paxton Ave Unit 9647
Cincinnati, OH 45209-7526
Phone
(502) 530-4812
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3825-29 WI
Registered Dietitian 133V00000X 4907 MN
Registered Dietitian 133V00000X 2712 KS
Registered Dietitian 133V00000X 159679 AK
Registered Dietitian 133V00000X 0813 SD
Registered Dietitian 133V00000X 128730 IA
Registered Dietitian 133V00000X 2625 MS
Registered Dietitian 133V00000X LD.08248 OH Primary

Addresses

Primary practice location

3874 Paxton Ave Unit 9647
Cincinnati, OH 45209-7526

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3100
Phone (615) 425-4200

Other practice location 1

555 Race St
Cincinnati, OH 45202-2347
Phone (855) 699-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200421002607 OH Practitioner - Registered Dietitian Or Nutrition Professional 5991974115 Reassigns benefits to 1 organization
I20251029003069 TN Practitioner - Other (Physician) 5991974115 Reassigns benefits to 1 organization
I20251124002696 KY Practitioner - Registered Dietitian Or Nutrition Professional 5991974115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNT, Inc.Group PAC ID 8820132145, 4 clinicians

Practice addresses (Care Compare)

207 Traditions Blvd
Bowling Green, KY 42103-7957
Phone (270) 901-3412

3874 Paxton Ave
Unit 9647
Cincinnati, OH 45209-7526
Phone (270) 901-3412

892 Windsor Green Blvd
Goodlettsville, TN 37072-2136
Phone (270) 901-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
159679AKMDRegistered Dietitian
128730IAMDRegistered Dietitian
2712KSMDRegistered Dietitian
2625MSMDRegistered Dietitian
LD.08248OHMDRegistered Dietitian
0813SDMDRegistered Dietitian
3825-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
MNT, Inc. Dietitian, Registered CurrentSince Sep 24, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

3874 Paxton Ave
Unit 9647
Cincinnati, OH 45209
Phone (502) 530-4812

1994 Gallatin Pike N
Ste 30
Madison, TN 37115

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.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1407151012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143100",
            "telephone_number": "615-425-4200",
            "fax_number": "800-546-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 PAXTON AVE UNIT 9647",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452097526",
            "telephone_number": "502-530-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Race St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452022347",
            "country_code": "US",
            "telephone_number": "855-699-6937",
            "fax_number": "800-546-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTUCCI",
        "first_name": "RICHARD",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3825-29",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4907",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2712",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "159679",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0813",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "128730",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "2625",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.