Individual provider Active NPI

Joseph Kinsley Richardson Jr., MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1699703504
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01060995A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 274-0275
Fax
(317) 274-5202
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01060995A IN Primary
Anesthesiology Physician 207L00000X A81303 CA

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Other practice location 2

151 Pennsylvania Pkwy
Carmel, IN 46280-1379
Phone (317) 817-1100

Other identifiers 4

IdentifierTypeStateIssuer
200806780MedicaidIN
264430H15OtherINMEDICARE
095200133OtherINMEDICARE PTAN
300073252MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrichardson@direct.iuhealth.org Direct
Direct Messaging Address jrichardson@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061010000380 IN Practitioner - Anesthesiology 3072519370 Reassigns benefits to 2 organizations
I20081106000611 CA Practitioner - Anesthesiology 3072519370 Reassigns benefits to 3 organizations
I20240709001573 IL Practitioner - Anesthesiology 3072519370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81303CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Jun 17, 2024 Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Oct 10, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 21, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System Anesthesiology CurrentSince Nov 29, 2021 Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Jun 17, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Dec 20, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince May 29, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Dec 20, 2022 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Great Lakes Anesthesia, P.C. Anesthesiology Past Accepting new patients
Nouveau Anesthesia Medical Group Anesthesiology PastSince Mar 12, 2009 Accepting new patients

Locations

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

5208 Reliable Pkwy
Chicago, IL 60686

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

Interoperability endpoints

  • Direct secure messaging: jrichardson14497@alamedahs.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1699703504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-274-0275",
            "fax_number": "317-274-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Pennsylvania Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462801379",
            "country_code": "US",
            "telephone_number": "317-817-1100",
            "fax_number": "317-817-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOSEPH",
        "middle_name": "KINSLEY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01060995A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A81303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200806780",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "264430H15",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "095200133",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300073252",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrichardson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrichardson@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Pennsylvania Pkwy",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462801379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.