NPIMap

Individual provider Active NPI

William S Richardson, MD

  • Internal Medicine Physician
  • Avon, OH
National Provider Identifier
1659363752
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072474 Issued in OH
Practice address
2535 Hale St
Avon, OH 44011-1856
Phone
(440) 934-8810
Fax
(440) 934-8811
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35072474 OH Primary

Addresses

Primary practice location

2535 Hale St
Avon, OH 44011-1856

Mailing address

26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823

Other identifiers 2

IdentifierTypeStateIssuer
110162326OtherOHRR MEDICARE
2061021MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williamrichardson@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000037 OH Practitioner - Internal MedicinePractitioner - Family Practice 8426148115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Luxe Home Health Care LLC Home health agency, Avon, OH, CCN 369338
  • Nivalis Hospice Hospice, Westlake, OH, CCN 361705
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Rae-Ann Westlake Nursing home, Westlake, OH, CCN 365115
  • Rae Ann Suburban Nursing home, Westlake, OH, CCN 365845

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35072474OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 3, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 3, 2017 Accepting new patients
Rae-Ann Westlake, Inc. Past Accepting new patients
Olmsted Manor, LTD Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Daughters of Miriam Center for Nursing & Rehabilitation LLC Past Accepting new patients
Avon Healthcare Center, Inc. Past Accepting new patients
Rae-Ann Suburban, Inc. Past Accepting new patients
Altercare, Inc. Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

2535 Hale St
Ste B
Avon, OH 44011
Phone (440) 934-8858

2535 Hale St
Ste A
Avon, OH 44011
Phone (440) 617-1823

2535 Hale St
Avon, OH 44011
Phone (440) 250-2050

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

29325 Health Campus Dr
Ste 2
Westlake, OH 44145
Phone (440) 835-6142

26908 Detroit Rd
Ste 200
Westlake, OH 44145
Phone (440) 871-6060

Interoperability endpoints

  • Direct secure messaging: wrichardson37105@ehrdirect.uhhospitals.org

Organizations & group practices 11

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.

Hospital & facility affiliations 11

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1659363752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 DETROIT RD",
            "address_2": "SUITE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452398",
            "telephone_number": "440-617-1823",
            "fax_number": "440-617-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 HALE ST",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111856",
            "telephone_number": "440-934-8810",
            "fax_number": "440-934-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110162326",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061021",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamrichardson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2535 Hale St",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440111856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.