Individual provider Active NPI

William B Richardson, MD

  • Family Medicine Physician
  • Eastport, ME
National Provider Identifier
1457409617
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15647 Issued in ME
Practice address
30 Boynton St
Eastport, ME 04631-1397
Phone
(207) 853-6001
Fax
(207) 853-4031
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15647 ME Primary

Addresses

Primary practice location

30 Boynton St
Eastport, ME 04631-1397

Mailing address

PO Box 275
3 Curtis Road Trivalley Family Practice LLC
Vernon, NY 13476-0275
Phone (315) 829-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY2 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
I20040504001015 ME Practitioner - Family Practice 7315839917 Reassigns benefits to 1 organization
I20080116000392 NY Practitioner - Family Practice 7315839917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastport Health Care, IncGroup PAC ID 3577592880, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

160 Dublin St
Machias, ME 04654-3409
Phone (207) 255-8290

30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15647MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastport Health Care, Inc. CurrentSince Feb 24, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Nov 7, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 31, 2021 Accepting new patients
Eastport Health Care, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Morningstar Care Center Past Accepting new patients
CRNC LLC Past Accepting new patients
Immediate Medical Care of Cny, PC Family Medicine PastSince Nov 1, 2007 Accepting new patients
Eastport Memorial Hospital Past Accepting new patients
Cprnc, LLC Past Accepting new patients

Locations

30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001

160 Dublin St
Machias, ME 04654
Phone (207) 255-3400

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Interoperability endpoints

  • Direct secure messaging: william.richardson.1@8309.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

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
Cortland Park Rehabilitation and Nursing CenterCortland, NY, CCN 335218 Skilled nursing facility Contracted Managing Employee Mar 5, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1457409617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "address_2": "3 CURTIS ROAD TRIVALLEY FAMILY PRACTICE LLC",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134760275",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BOYNTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311397",
            "telephone_number": "207-853-6001",
            "fax_number": "207-853-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "15647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastport, ME

Sources for this page

Verify at the official NPI Registry.