Individual provider Active NPI

Richard Webster, DO

  • Family Medicine Physician
  • Johnson City, NY
National Provider Identifier
1568083236
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207642 Issued in VA
Practice address
507 Main St
Johnson City, NY 13790-1810
Phone
(607) 763-6075
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102207642 VA Primary

Addresses

Primary practice location

507 Main St
Johnson City, NY 13790-1810

Mailing address

507 Main St
Johnson City, NY 13790-1810
Phone (607) 763-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230807004051 VA Practitioner - Family Practice 5991115362 Reassigns benefits to 2 organizations
I20231011003658 DC Practitioner - Family Practice 5991115362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207642VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC Dba Allcare Family Medicine Current Accepting new patients
Comprehensive Primary Care and Associates LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Capital Healthcare PC CurrentSince May 24, 2023 Accepting new patients

Locations

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

4501 Fairfax Dr
Ste 110
Arlington, VA 22203
Phone (703) 349-6362

4501 Fairfax Dr
Arlington, VA 22203

43810 Central Station Dr
Ste 160
Ashburn, VA 20147
Phone (301) 426-6500

4167 Merchant Plz
Woodbridge, VA 22192
Phone (703) 878-8800

Interoperability endpoints

  • Direct secure messaging: richard.webster.1@15482.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1568083236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901810",
            "telephone_number": "607-763-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901810",
            "telephone_number": "607-763-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.