Individual provider Active NPI

Reva A Richardson, M.D.

  • Internal Medicine Physician
  • St Thomas, VI
National Provider Identifier
1588672067
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1278 Issued in VI
Practice address
9149 Estate Thomas
Paragon Medical Building, Suite 301
St Thomas, VI 00802-2687
Phone
(340) 776-8112
Fax
(340) 776-8113
NPI assigned
Aug 3, 2006
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1278 VI Primary
Pediatrics Physician 208000000X 1278 VI

Addresses

Primary practice location

9149 Estate Thomas
Paragon Medical Building, Suite 301
St Thomas, VI 00802-2687

Mailing address

PO Box 307266
St Thomas, VI 00803-7266
Phone (340) 776-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20041013000860 VI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0648242206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Baylor College of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Caricare Family Health Services LLCGroup PAC ID 6507935889, 3 clinicians

Practice addresses (Care Compare)

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

9149 Estate Thomas
Suite 301
St Thomas, VI 00802-3133
Phone (340) 776-8112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caricare Family Health Services, L.L.C Internal Medicine CurrentSince Jun 1, 2004 Accepting new patients
VI Government Hospital and Health Facilities Corp Current Accepting new patients

Locations

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

9149 Estate Thomas
Ste 301
St Thomas, VI 00802
Phone (340) 766-8112

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.

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1588672067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307266",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008037266",
            "telephone_number": "340-776-8112",
            "fax_number": "340-776-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON MEDICAL BUILDING, SUITE 301",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-776-8112",
            "fax_number": "340-776-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "REVA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1278",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VI",
            "license": "1278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.