Individual provider Active NPI

Roxanne L Richards, MD

  • Anesthesiology Physician
  • Grand Rapids, MI
National Provider Identifier
1710983226
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD29099 Issued in ME
Practice address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone
(616) 364-4200
Fax
(616) 364-7347
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35092779 OH
Anesthesiology Physician 207L00000X MD29099 ME Primary
Anesthesiology Physician 207L00000X 119456 MO
Anesthesiology Physician 207L00000X 430106542 MI

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Mailing address

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200

Other practice location 1

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200

Other practice location 2

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8400

Other identifiers 1

IdentifierTypeStateIssuer
2925704MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MO, WV, ME, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20090311000260 OH Practitioner - Anesthesiology 7810939303 Reassigns benefits to 2 organizations
I20230530000932 MO Practitioner - Anesthesiology 7810939303 Reassigns benefits to 2 organizations
I20240925003053 WV Practitioner - Anesthesiology 7810939303 Reassigns benefits to 3 organizations
I20250224002348 ME Practitioner - Anesthesiology 7810939303 Reassigns benefits to 1 organization
I20250307001441 IL Practitioner - Anesthesiology 7810939303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29099MEMDAnesthesiology Physician
430106542MIMDAnesthesiology Physician
35092779OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 10, 2025 Accepting new patients
Mainehealth CurrentSince Mar 10, 2025 Accepting new patients
Ams Ohio PLLC Anesthesiology CurrentSince Feb 12, 2020 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC Anesthesiology CurrentSince Dec 11, 2024 Accepting new patients
General Anesthesia Services Inc Anesthesiology CurrentSince Aug 26, 2024 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Feb 24, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 8, 2024 Accepting new patients
Ohio Anesthesia Group, Inc Anesthesiology CurrentSince Apr 2, 2021 Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Oct 30, 2023 Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Feb 24, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Hospitalist Medicine Physicians of West Virginia - South Charleston Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 8, 2024 Accepting new patients
Northwest Anesthesia LTD Anesthesiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

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

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Organizations & group practices 15

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 15

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1710983226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259493",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Evergreen Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495259493",
            "country_code": "US",
            "telephone_number": "616-364-4200",
            "fax_number": "616-364-7347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-921-8400",
            "fax_number": "207-921-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ROXANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35092779",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD29099",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "119456",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "430106542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2925704",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.