Individual provider Active NPI

Justin Dan Richey, M.D.

  • Dermatopathology (Pathology) Physician
  • Naples, FL
National Provider Identifier
1639439086
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
04-39695 Issued in KS
Practice address
4351 Tamiami TRL N
Naples, FL 34103-3106
Phone
(816) 241-3338
Fax
(239) 263-6983
NPI assigned
May 19, 2012
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 04-39695 KS Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2017005705 MO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01076195A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C3839 KY

Addresses

Primary practice location

4351 Tamiami TRL N
Naples, FL 34103-3106

Mailing address

4351 Tamiami TRL N
Naples, FL 34103-3106
Phone (239) 263-1777

Other practice location 1

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2856

Other practice location 2

4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-1227

Other practice location 3

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, FL, IN, KY, TN, GA, AL, TX9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20170718000805 MO Practitioner - Pathology 9931491354 Reassigns benefits to 2 organizations
I20170718001694 KS Practitioner - Pathology 9931491354 Reassigns benefits to 3 organizations
I20171209000200 FL Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20250829003514 IN Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20250905002693 KY Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20251015005123 TN Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20251211002257 GA Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20260102003627 AL Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization
I20260417001833 TX Practitioner - Pathology 9931491354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Virginia Commonwealth Univ School of Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians
Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1901 Phoenix Blvd
Suite 210
Atlanta, GA 30349-5062
Phone (615) 221-4474

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000

2641 Rocky Ridge LN
Vestavia Hills, AL 35216-4809
Phone (615) 221-4400

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 727-2766

3512 Old Montgomery Hwy
Homewood, AL 35209-5750
Phone (205) 879-2260

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-5000

7520 W 160TH St
Suite 100
Overland Park, KS 66085-8137
Phone (913) 871-8221

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone (615) 221-4447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39695KSMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Associated Pathologists, LLC Dermatopathology CurrentSince Jun 23, 2025 Accepting new patients
Blue Valley Dermatology LLC CurrentSince Feb 2, 2025 Accepting new patients
University of Kansas Hospital Authority CurrentSince Aug 28, 2025 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 28, 2025 Accepting new patients
University of Kansas Hospital Authority CurrentSince Aug 28, 2025 Accepting new patients
Naples Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Nov 7, 2017 Accepting new patients
Kansas University Physicians Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 28, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Associated Pathologists LLC PastSince Nov 4, 2025 Accepting new patients

Locations

3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4351 Tamiami Trl N
Naples, FL 34103
Phone (239) 263-1777

1901 Phoenix Blvd
Ste 210
Atlanta, GA 30349
Phone (800) 994-1030

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

7840 W 165th St
Ste 260
Overland Park, KS 66223
Phone (913) 632-9400

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

7520 W 160th St
Ste 100
Stilwell, KS 66085
Phone (913) 871-8221

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

Interoperability endpoints

  • Direct secure messaging: jrichey785785@direct.kuha.org

Organizations & group practices 12

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 7

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": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1639439086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033106",
            "telephone_number": "239-263-1777",
            "fax_number": "239-263-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033106",
            "telephone_number": "816-241-3338",
            "fax_number": "239-263-6983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608501",
            "country_code": "US",
            "telephone_number": "913-588-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011760",
            "country_code": "US",
            "telephone_number": "270-745-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "JUSTIN",
        "middle_name": "DAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "KS",
            "license": "04-39695",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2017005705",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01076195A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "C3839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.