Individual provider Active NPI

D. Chimene Richa, MD

  • Ophthalmology Physician
  • Glen Burnie, MD
National Provider Identifier
1437273398
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD436480 Issued in PA
Practice address
200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5884
Phone
(410) 761-0555
NPI assigned
Mar 18, 2007
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X MD436480 PA Primary
Ophthalmology Physician 207W00000X D0070169 MD

Addresses

Primary practice location

200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5884

Mailing address

200 Hospital Dr
Suite 600
Glen Burnie, MD 21061-5884
Phone (410) 761-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000357 MD Practitioner - Ophthalmology 6608990320 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070169MDMDOphthalmology Physician
MD436480PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. CurrentSince Apr 1, 2012 Accepting new patients
University of Maryland Eye Associates, P.a. Ophthalmology CurrentSince Apr 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

200 Hospital Dr
Ste 600
Glen Burnie, MD 21061
Phone (410) 766-3937

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1437273398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "SUITE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615884",
            "telephone_number": "410-761-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "SUITE 600",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615884",
            "telephone_number": "410-761-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHA",
        "first_name": "D. CHIMENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD436480",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0070169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.