Active NPI
Douglas Mark Richley, D.O.
- Dermatology Physician
- Manistee, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5101022086
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 54 |
| Removal of skin lesions | 1282 |
| Removal of skin cancer | 384 |
| Removal or shaving of skin growth | 211 |
| Skin biopsy | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013023332 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Institute of West Michigan PLC | Dermatology | Current | Accepting new patients |
| Tru North Dermatology | Current | Accepting new patients | |
| V Dermatology | Dermatology | Current | 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
- directmail@trunorthdermatology.emadirect.md
- 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.
-
dba Derm Institute
- Dermatology Physician
- Caledonia, MI
- NPI 1003460874
-
- MOHS-Micrographic Surgery Physician
- Manistee, MI
- NPI 1366906364
-
- Dermatology Physician
- Traverse City, MI
- NPI 1922536986
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.