Individual provider Active NPI

Milton Waldo Richardson, DPM

  • Podiatrist
  • Apex, NC
National Provider Identifier
1467413419
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
NC308 Issued in NC
Practice address
1031 W Williams St
#105
Apex, NC 27502-3955
Phone
(919) 363-3310
Fax
(919) 363-3370
NPI assigned
Mar 30, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NC308 NC Primary

Addresses

Primary practice location

1031 W Williams St
#105
Apex, NC 27502-3955

Mailing address

1031 W Williams St
#105
Apex, NC 27502-3955
Phone (919) 363-3310

Other identifiers 8

IdentifierTypeStateIssuer
10920106OtherCIGNA
81278OtherMEDCOST
890814NMedicaidNC
26929OtherWELLPATH
0814NOtherBCBS
561982020OtherALL OTHER COMMERCIAL PAYO
2752571OtherUNITED
5333086OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000739 NC Practitioner - Podiatry 9638169345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Gooden Mobile Pod NC PLLCGroup PAC ID 2769738715, 16 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

311 McFadyen Dr
Fayetteville, NC 28314-0937
Phone 50224424205441

Merit-based Incentive Payment System (MIPS)

Final score
88.23 of 100Reported as group
Quality
50.17
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue780
Removal or shaving of skin growth70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC308NCMDPodiatrist
308NCMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gooden Mobile Pod NC PLLC Podiatrist CurrentSince Mar 24, 2019 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

Interoperability endpoints

  • Direct secure messaging: milton.richardson.p13@direct.360care.nextgenshare.com

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1467413419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 W WILLIAMS ST",
            "address_2": "#105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023955",
            "telephone_number": "919-363-3310",
            "fax_number": "919-363-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W WILLIAMS ST",
            "address_2": "#105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023955",
            "telephone_number": "919-363-3310",
            "fax_number": "919-363-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MILTON",
        "middle_name": "WALDO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "NC308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10920106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "81278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890814N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "26929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0814N",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER COMMERCIAL PAYO",
            "identifier": "561982020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2752571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5333086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.