Individual provider Active NPI

Richard Elsworth, D.O.

  • Obstetrics Physician
  • Flint, MI
National Provider Identifier
1407954589
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
5101009256 Issued in MI
Practice address
1402 W Court St
Flint, MI 48503-5004
Phone
(810) 767-3220
Fax
(810) 767-7969
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS024584C PA
Obstetrics Physician 207VX0000X 5101009256 MI Primary

Addresses

Primary practice location

1402 W Court St
Flint, MI 48503-5004

Mailing address

1402 W Court St
Flint, MI 48503-5004
Phone (810) 767-3220

Other practice location 1

830 Old Lancaster Rd Ste 105
Bryn Mawr, PA 19010-3118
Phone (484) 227-9540

Other identifiers 2

IdentifierTypeStateIssuer
112647368MedicaidMI
160B576250OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090327000062 MI Practitioner - Obstetrics/Gynecology 3274540703 Reassigns benefits to 2 organizations
I20250320003041 PA Practitioner - Obstetrics/Gynecology 3274540703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Osteopathy, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1460 N Ctr Rd
Burton, MI 48509-1429
Phone (810) 715-4300

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101009256MIMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Nov 28, 2011 Accepting new patients
Womens Specialty Associates, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 1999 Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Nov 28, 2011 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Mar 18, 2025 Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1402 W Court St
Flint, MI 48503
Phone (810) 767-3220

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3434 Regency Park Dr
Ste A
Grand Blanc, MI 48439
Phone (810) 694-9400

5445 Ali Dr
Dept 300
Grand Blanc, MI 48439

725 Skippack Pike
Ste 220
Blue Bell, PA 19422
Phone (484) 227-9540

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

830 Old Lancaster Rd
Ste 105
Bryn Mawr, PA 19010
Phone (484) 227-9540

1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

Interoperability endpoints

  • Direct secure messaging: relsworth1126218@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1407954589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035004",
            "telephone_number": "810-767-3220",
            "fax_number": "810-767-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035004",
            "telephone_number": "810-767-3220",
            "fax_number": "810-767-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Old Lancaster Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103118",
            "country_code": "US",
            "telephone_number": "484-227-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSWORTH",
        "first_name": "RICHARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS024584C",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101009256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112647368",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160B576250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.