Active NPI
William R Richli, MD
- Diagnostic Radiology Physician
- Memphis, TN
National Provider Identifier
1700815594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31476
- Practice address
- 100 N Humphreys Blvd
Memphis, TN 38120-2146 - Phone
- (901) 683-0055
- Fax
- (901) 685-9718
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 31476 | TN | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 16663 | MS |
Addresses
Primary practice location
100 N Humphreys Blvd
Memphis, TN 38120-2146
Mailing address
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 683-0055
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4380560 | Other | AETNA | |
| 139097001 | Medicaid | MO | |
| 139097001 | Medicaid | AR | |
| 3846792 | Medicaid | TN | |
| 4084439 | Other | TN | BCBSTN |
| 02358077 | Medicaid | MS | |
| 98286 | Other | AR | BCBS AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31476 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Imaging & Therapeutics, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1700815594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-685-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-685-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHLI",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "31476",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "16663",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4380560",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139097001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139097001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3846792",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "4084439",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02358077",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "98286",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.