Individual provider Active NPI

Steven Jay Richardson, MD

  • MOHS-Micrographic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1740480177
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
P0479 Issued in TX
Practice address
7000 Bryant Irvin Rd
Suite 100
Fort Worth, TX 76132-4250
Phone
(817) 882-6338
Fax
(817) 759-9808
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P0479 TX
MOHS-Micrographic Surgery Physician 207ND0101X P0479 TX Primary

Addresses

Primary practice location

7000 Bryant Irvin Rd
Suite 100
Fort Worth, TX 76132-4250

Mailing address

7000 Bryant Irvin Rd
Suite 100
Fort Worth, TX 76132-4250
Phone (817) 882-6338

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000378 TX Practitioner - Dermatology 2961673587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richardson Dermatology, PLLCGroup PAC ID 8729396148, 4 clinicians

Practice addresses (Care Compare)

7000 Bryant Irvin Rd
Suite 100
Fort Worth, TX 76132-4251
Phone (817) 882-6338

Merit-based Incentive Payment System (MIPS)

Final score
90.01 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40
Cost
73.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision77
Removal of skin lesions12
Removal of skin cancer1071
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0479TXMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Richardson Dermatology, PLLC Mohs-Micrographic Surgery CurrentSince Sep 15, 2015 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Dermatology CurrentSince Jul 1, 2011 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2011 Accepting new patients

Locations

6263 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 648-3085

7000 Bryant Irvin Rd
Ste 100
Fort Worth, TX 76132
Phone (716) 361-6017

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1740480177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BRYANT IRVIN RD",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324250",
            "telephone_number": "817-882-6338",
            "fax_number": "817-759-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BRYANT IRVIN RD",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324250",
            "telephone_number": "817-882-6338",
            "fax_number": "817-759-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P0479",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "P0479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.