Individual provider Active NPI

Tadarro L Richardson, MD

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1780677724
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20359 Issued in KY
Practice address
171 W Lowry LN
Lexington, KY 40503-3018
Phone
(859) 334-1550
Fax
(877) 471-2996
NPI assigned
Aug 24, 2005
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20359 KY Primary

Addresses

Primary practice location

171 W Lowry LN
Lexington, KY 40503-3018

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

1401 Harrodsburg Rd
Suite C215
Lexington, KY 40504-3751
Phone (859) 278-9413

Other identifiers 10

IdentifierTypeStateIssuer
1404232OtherKYUMWA
611012421OtherKYAETNA
C68011OtherKYBLUEGRASS FAMILY HEALTH
64-203599MedicaidKY
000000047826OtherKYANTHEM BLUE SHIELD
1284109OtherKYUMWA
611012421COtherKYHUMANA
110031156OtherKYRAILROAD MEDICARE
61-1012421OtherKYTPN CONTRACTS
0037678OtherKYMEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tadarro.richardson.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050112001143 KY Practitioner - Internal Medicine 7012966468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 Woodside Way
Nicholasville, KY 40356-9160

1643 NW 136TH Ave
BLDG H Suite 100 Msc11607 3003
Sunrise, FL 33323-7561

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-7561

5870 Hiatus Rd
Tamarac, FL 33321-6424

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ky PSC Internal Medicine Current Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Centerwell Senior Primary Care Ky PSC Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Associated Physician Services of Lexington, LLC Internal Medicine Past Accepting new patients
Central Kentucky Medical Group PSC Internal Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

171 W Lowry Ln
Ste 180
Lexington, KY 40503
Phone (502) 632-9313

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: tadarro.richardson.1@29601.direct.athenahealth.com

Organizations & group practices 8

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1780677724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033018",
            "telephone_number": "859-334-1550",
            "fax_number": "877-471-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Harrodsburg Rd",
            "address_2": "SUITE C215",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043751",
            "country_code": "US",
            "telephone_number": "859-278-9413",
            "fax_number": "859-276-6381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TADARRO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "20359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1404232",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "611012421",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "C68011",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-203599",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000047826",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1284109",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "611012421C",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110031156",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPN CONTRACTS",
            "identifier": "61-1012421",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - FAYETTE COUNTY HEALTH DEPARTMENT",
            "identifier": "0037678",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tadarro.richardson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "171 W Lowry Ln",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405033018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.