Randall T Richwine, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6600 Issued in TX

Practice address

5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448

Phone

(817) 732-2878

Fax

(817) 732-0648

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

University of North Texas HSC, College of Osteopathic Med, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspen Hospice and Palliative Care Hospice, San Antonio, TX, CCN 671767
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rrichwine4@direct.texashealth.org

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Emcare DFW Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1801846902
  NPD (past)
• Texas Emergency Room Services, P.a.

  • Emergency Medicine Physician
  • Granbury, TX
  • NPI 1598710493
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Sixrsig LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1730478603
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1710910740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W VICKERY BLVD STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077448",
            "telephone_number": "817-732-2878",
            "fax_number": "817-732-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W VICKERY BLVD STE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077448",
            "telephone_number": "817-732-2878",
            "fax_number": "817-732-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHWINE",
        "first_name": "RANDALL",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160039703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160039706",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rrichwine4@Direct.TexasHealth.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5750 W Vickery Blvd Ste 104",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761077448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Lane Richey, M.D., M.P.H
• Mayme Richie-Gillespie, MD
• Talya Rebecca Richie, NP
• Megan Richter
• Ryan Hartman Richter, MD
• Lauren Michelle Ricker, MOT, OTR
• Mallory Michelle Rickett, OD
• Jessica Rickman, OT
• Damla Ricks
• Jordyn Ricks

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.

Verify at the official NPI Registry.