Individual provider Active NPI

Stephen Randolph Richardson, D.O.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1568520252
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010854 Issued in MI
Practice address
6700 N Rochester Rd
Suite 100
Rochester Hills, MI 48306-4362
Phone
(248) 650-1520
Fax
(248) 650-1530
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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 5101010854 MI Primary

Addresses

Primary practice location

6700 N Rochester Rd
Suite 100
Rochester Hills, MI 48306-4362

Mailing address

6700 N Rochester Rd
Suite 100
Rochester Hills, MI 48306-4362
Phone (248) 650-1520

Other identifiers 2

IdentifierTypeStateIssuer
2976099 TYPE 11MedicaidMI
0856304754 001OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040306000184 MI Practitioner - Family PracticePractitioner - General Practice 0143118612 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richards & Richardson, P.C. Family Medicine CurrentSince Jan 31, 1990 Accepting new patients

Locations

6700 N Rochester Rd
Ste 100
Rochester Hills, MI 48306
Phone (248) 650-1520

Interoperability endpoints

  • Direct secure messaging: stephenrichardson@rrpc.allscriptsdirect.net

Organizations & group practices 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1568520252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362",
            "telephone_number": "248-650-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362",
            "telephone_number": "248-650-1520",
            "fax_number": "248-650-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "STEPHEN",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2976099  TYPE 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0856304754 001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.