Individual provider Active NPI

Richard James, MD

  • Surgery Physician
  • Port St Lucie, FL
National Provider Identifier
1659387405
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME66880 Issued in FL
Practice address
176 NW Magnolia Lakes Blvd
Port St Lucie, FL 34986
Phone
(772) 828-1907
Fax
(772) 345-1244
NPI assigned
Aug 1, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME66880 FL Primary

Addresses

Primary practice location

176 NW Magnolia Lakes Blvd
Port St Lucie, FL 34986

Mailing address

176 NW Magnolia Lakes Blvd
Port St Lucie, FL 34986
Phone (772) 828-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031112000038 FL Practitioner - General SurgeryPractitioner - DermatologyPractitioner - Other (Physician) 3678486933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Skin Surgery LLC Surgery CurrentSince May 1, 2013 Accepting new patients
Gateway Medical Group LC Surgery Past Accepting new patients
National Healing Community Wound Care, LLC Surgery Past Accepting new patients

Locations

700 S 29th St
Fort Pierce, FL 34947
Phone (772) 465-7560

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

1655 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 337-1333

1751 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (772) 335-8844

7300 Oleander Ave
Port St Lucie, FL 34952
Phone (772) 464-5911

6011 SE Tower Dr
Stuart, FL 34997
Phone (772) 223-8777

301 Northpoint Pkwy
West Palm Beach, FL 33407
Phone (561) 640-2964

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1659387405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 NW MAGNOLIA LAKES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-828-1907",
            "fax_number": "772-345-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 NW MAGNOLIA LAKES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-828-1907",
            "fax_number": "772-345-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME66880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.