Individual provider Active NPI

Douglas Mark Richley, D.O.

  • Dermatology Physician
  • Manistee, MI
National Provider Identifier
1780025619
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101022086 Issued in MI
Practice address
315 Oakgrove St
Manistee, MI 49660-1176
Phone
(231) 299-8900
Fax
(231) 887-4320
NPI assigned
Jul 8, 2013
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 2013023332 MO
Dermatology Physician 207N00000X 5101022086 MI Primary

Addresses

Primary practice location

315 Oakgrove St
Manistee, MI 49660-1176

Mailing address

315 Oak Grove St
Manistee, MI 49660-1121
Phone (231) 299-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directmail@trunorthdermatology.emadirect.md Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726002457 MI Practitioner - Dermatology 4880987015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Institute of West Michigan PLCGroup PAC ID 5092044487, 9 clinicians
Tru North DermatologyGroup PAC ID 1456689504, 2 clinicians
V DermatologyGroup PAC ID 9739451063, 6 clinicians

Practice addresses (Care Compare)

1661 Crystal Springs Blvd SE
Caledonia, MI 49316-7478
Phone (616) 326-0114

315 Oak Grove St
Manistee, MI 49660-1176
Phone (231) 299-8900

440 Cobb St
Cadillac, MI 49601-2542
Phone (231) 642-5031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision54
Removal of skin lesions1282
Removal of skin cancer384
Removal or shaving of skin growth211
Skin biopsy236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013023332MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Institute of West Michigan PLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Tru North Dermatology CurrentSince Jul 1, 2019 Accepting new patients
V Dermatology Dermatology CurrentSince Nov 20, 2023 Accepting new patients

Locations

440 Cobb St
Cadillac, MI 49601
Phone (231) 642-5031

1661 Crystal Springs Blvd SE
Caledonia, MI 49316
Phone (616) 326-0114

315 Oak Grove St
Manistee, MI 49660
Phone (231) 299-8900

311 W Mitchell St
Petoskey, MI 49770
Phone (231) 224-6361

1225 W Front St
Ste C
Traverse City, MI 49684
Phone (231) 486-0230

Interoperability endpoints

  • Direct secure messaging: directmail@trunorthdermatology.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00097

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1780025619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OAK GROVE ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601121",
            "telephone_number": "231-299-8900",
            "fax_number": "231-887-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAKGROVE ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601176",
            "telephone_number": "231-299-8900",
            "fax_number": "231-887-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHLEY",
        "first_name": "DOUGLAS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2013023332",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101022086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmail@trunorthdermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Mail Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315 Oakgrove St",
            "city": "Manistee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496601176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.