Active NPI
Timothy Richardson, PA.
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036109
- Practice address
- 1226 E Water St
Syracuse, NY 13210-1155 - Phone
- (315) 478-4185
- Fax
- (315) 478-0840
- NPI assigned
- Jul 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 036109 | NY | Primary |
Addresses
Primary practice location
1226 E Water St
Syracuse, NY 13210-1155
Mailing address
100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369
Other practice location 1
357 Genesee St Ste 1
Oneida, NY 13421-2658
Phone (315) 363-8862
Other practice location 2
2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone (315) 724-1012
Other practice location 3
192 Genesee St
Auburn, NY 13021-3361
Phone (315) 258-5253
Other practice location 4
5700 W Genesee St Ste 124
Camillus, NY 13031-3206
Phone (315) 478-4185
Other practice location 5
4211 Medical Center Dr Ste 211
Fayetteville, NY 13066-6637
Phone (315) 329-0210
Other practice location 6
5100 W Taft Rd Ste 4J
Liverpool, NY 13088-3810
Phone (315) 458-6669
Other practice location 7
80 E Main St Ste 2A
Canton, NY 13617-1450
Phone (315) 714-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10535 Park Meadows Blvd
Suite 102
Lone Tree, CO 80124-8455
Phone (303) 695-6106
32135 Castle CT
Suite 101
Evergreen, CO 80439-8006
Phone (303) 985-2550
Hospital & facility affiliations
- Sky Ridge Medical Center
- The Medical Center of Aurora & South Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60779457 | WA | MD | Physician Assistant |
| PA0007294 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology, PLLC | Current | Accepting new patients | |
| Foothills Urology, PC | Current | Accepting new patients | |
| Advanced Urology, PLLC | Current | Accepting new patients |
Locations
2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961
4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636
4500 E 9th Ave
Ste 470
Denver, CO 80220
Phone (303) 320-8499
1411 S Potomac St
Ste 210
Denver, CO 80012
Phone (303) 750-0883
32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500
10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211
10535 Park Meadows Blvd
Ste 105
Lone Tree, CO 80124
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
Interoperability endpoints
- timothyrichardson@fu.allscriptsdirect.net
- timothy.richardson.1@13869.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urology Physician
- Lone Tree, CO
- NPI 1962501551
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
- Urology Physician
- Superior, CO
- NPI 1356991939
-
- Urology Physician
- Golden, CO
- NPI 1780617795
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1659327013
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1720666142
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1801474226
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1437713856
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1336868017
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1396323721
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1407577315
-
- Psychiatric Hospital
- Aurora, CO
- NPI 1437795424
-
- General Acute Care Hospital
- Denver, CO
- NPI 1528604808
-
- General Acute Care Hospital
- Centennial, CO
- NPI 1609412980
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1780262105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1407378136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 METROPOLITAN PARK DR STE 100",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130887112",
"telephone_number": "315-870-9369",
"fax_number": "315-870-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840"
}
],
"practiceLocations": [
{
"address_1": "357 Genesee St Ste 1",
"address_purpose": "LOCATION",
"city": "Oneida",
"state": "NY",
"postal_code": "134212658",
"country_code": "US",
"telephone_number": "315-363-8862",
"fax_number": "315-363-3326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Ellinwood Dr",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134131102",
"country_code": "US",
"telephone_number": "315-724-1012",
"fax_number": "315-724-5219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "192 Genesee St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "NY",
"postal_code": "130213361",
"country_code": "US",
"telephone_number": "315-258-5253",
"fax_number": "315-258-0202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5700 W Genesee St Ste 124",
"address_purpose": "LOCATION",
"city": "Camillus",
"state": "NY",
"postal_code": "130313206",
"country_code": "US",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4211 Medical Center Dr Ste 211",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NY",
"postal_code": "130666637",
"country_code": "US",
"telephone_number": "315-329-0210",
"fax_number": "315-329-0215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5100 W Taft Rd Ste 4J",
"address_purpose": "LOCATION",
"city": "Liverpool",
"state": "NY",
"postal_code": "130883810",
"country_code": "US",
"telephone_number": "315-458-6669",
"fax_number": "315-478-0840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 E Main St Ste 2A",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "NY",
"postal_code": "136171450",
"country_code": "US",
"telephone_number": "315-714-2559",
"fax_number": "315-386-3056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "PA.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.