Active NPI
Bethany Richards, MD
- Family Medicine Physician
- Santa Fe, NM
National Provider Identifier
1679009666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 123298
- Practice address
- 1035 Alto St
Santa Fe, NM 87501-2406 - Phone
- (505) 982-4425
- Fax
- (505) 982-8440
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 123298 | AK | Primary |
Addresses
Primary practice location
1035 Alto St
Santa Fe, NM 87501-2406
Mailing address
1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425
Other practice location 1
1201 E 36th Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670713 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201112000127 | NM | Practitioner - Family Practice | 6204105422 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360
455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-6130
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Presbyterian Espanola Hospital
- Holy Cross Hospital a Div of Taos Health Systems
- Los Alamos Medical Center
- Presbyterian Santa Fe Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| St. Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine, NM
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Cardiovascular Disease Physician
- Santa Fe, NM
- NPI 1780928218
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
Hospital
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1679009666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 ALTO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012406",
"telephone_number": "505-982-4425",
"fax_number": "505-982-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 ALTO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012406",
"telephone_number": "505-982-4425",
"fax_number": "505-982-8440"
}
],
"practiceLocations": [
{
"address_1": "1201 E 36th Ave",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084372",
"country_code": "US",
"telephone_number": "907-562-9229",
"fax_number": "907-562-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDS",
"first_name": "BETHANY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "123298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1670713",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.