Active NPI
Cameron Richardson, D.O.
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101026715
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 279-3105
- NPI assigned
- Apr 12, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 5101026715 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
PO Box 5329
Saginaw, MI 48603-0329
Phone (616) 364-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5907
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Trinity Health Muskegon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- Quality
- 75.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.91 of 100
- Quality
- 83.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.57 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.25 of 100
- Quality
- 96.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.89 of 100
- Quality
- 95.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026715 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson South Haven Hospital | Current | Accepting new patients | |
| Bronson Battle Creek Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Bronson South Haven Hospital | Current | Accepting new patients | |
| Kent Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Art of Radiology Imaging Associates, PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271
950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796
Interoperability endpoints
- crichardson1847634@direct.trinity-health.org
Organizations & group practices 9
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
- Grand Rapids, MI
- NPI 1760416960
-
- Internal Medicine Physician
- Battle Creek, MI
- NPI 1093119638
-
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Family Medicine Physician
- South Haven, MI
- NPI 1174749170
-
- Community/Retail Pharmacy
- Battle Creek, MI
- NPI 1740351907
-
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
- Diagnostic Radiology Physician
- Grand Blanc, MI
- NPI 1003571076
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1720442015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5329",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486030329",
"telephone_number": "616-364-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-279-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CAMERON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2023-01-06",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101026715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.