Individual provider Active NPI

Jerod Richards, MD

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1528472255
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2481 Issued in TX
Practice address
6045 Alma Rd Ste 305
McKinney, TX 75070-2298
Phone
(469) 487-7848
Fax
(469) 487-7674
NPI assigned
Jun 20, 2014
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 S2481 TX Primary

Addresses

Primary practice location

6045 Alma Rd Ste 305
McKinney, TX 75070-2298

Mailing address

6045 Alma Rd Ste 305
McKinney, TX 75070-2298
Phone (469) 487-7848

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerod.richards.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20170726004309 CA Practitioner - Family Practice 3678843430 Reassigns benefits to 1 organization
I20201223001473 TX Practitioner - Family Practice 3678843430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6045 Alma Rd
Suite 305
McKinney, TX 75070-2298
Phone (801) 472-0460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2481TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Single Specialty CurrentSince Jul 20, 2017 Accepting new patients
Celebration Health PLLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Beaver Medical Group P C Single Specialty CurrentSince Jul 20, 2017 Accepting new patients

Locations

1600 E Citrus Ave
Ste A
Redlands, CA 92374
Phone (909) 294-3682

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

6045 Alma Rd
Ste 305
McKinney, TX 75070
Phone (469) 487-7848

Interoperability endpoints

  • Direct secure messaging: jerod.richards.1@13711.direct.athenahealth.com
  • Direct secure messaging: jerod.richards.1@31961.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1528472255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 ALMA RD STE 305",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702298",
            "telephone_number": "469-487-7848",
            "fax_number": "469-487-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 ALMA RD STE 305",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702298",
            "telephone_number": "469-487-7848",
            "fax_number": "469-487-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JEROD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerod.richards.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1600 Preston Rd",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.