NPIMap

Individual provider Active NPI

Roselavender A Richards, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1417934902
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23096 Issued in AZ
Practice address
2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483
Phone
(480) 977-6000
Fax
(248) 269-0631
NPI assigned
Dec 27, 2005
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23096 AZ Primary

Addresses

Primary practice location

2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483

Mailing address

2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483
Phone (480) 977-6000

Other identifiers 2

IdentifierTypeStateIssuer
AZ0702650OtherAZBC BS OF AZ
318205MedicaidAZ

Other names 1

  • Roselavender A Richards Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000763 AZ Practitioner - Internal Medicine 7214825413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10631 S 51St St
Suite 8
Phoenix, AZ 85044-5225
Phone (480) 298-9951

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cholla Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Piller Child Development LLC CurrentSince Dec 23, 2018 Accepting new patients
Lavender Hospice LLC CurrentSince Jul 31, 2023 Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients
Roselavender a. Richards, M.D. P.C. PastSince Dec 3, 2003 Accepting new patients

Locations

10631 S 51st St
Ste 8
Phoenix, AZ 85044
Phone (480) 298-9951

2025 N 3rd St
Ste 180
Phoenix, AZ 85004
Phone (602) 283-3663

20815 N 25th Pl
Ste A106
Phoenix, AZ 85050
Phone (602) 283-9898

Interoperability endpoints

  • Direct secure messaging: roselavendar.richards@202353167302660.direct.elationemr.com
  • Direct secure messaging: roselavendar.richards@3056459120644.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Lavender HospicePhoenix, AZ, CCN 031693 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (50%)		 Jul 31, 2023
Jul 31, 2023
Jul 31, 2023
Oct 1, 2017

Owned or controlled facilities with NPI records 1

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

  • Lavender Hospice LLC
    • Community Based Hospice Care Agency
    • Phoenix, AZ
    • NPI 1982117305

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1417934902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041483",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041483",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ROSELAVENDER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AZ",
            "identifier": "AZ0702650",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSELAVENDER",
            "last_name": "RICHARDS",
            "middle_name": "A",
            "credential": "MD INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.