Individual provider Active NPI

John C Richmond, M.D.

  • Orthopaedic Surgery Physician
  • Waltham, MA
National Provider Identifier
1851493928
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
43010 Issued in MA
Practice address
840 Winter St
Waltham, MA 02451-1433
Phone
(781) 890-2133
Fax
(781) 890-2177
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 43010 MA Primary

Addresses

Primary practice location

840 Winter St
Waltham, MA 02451-1433

Mailing address

840 Winter Street
Attn: Boston Sports & Shoulder Center
Waltham, MA 02451-1433
Phone (781) 890-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040308000389 MA Practitioner - Orthopedic Surgery 4284522723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports & Shoulder Center, LLC Orthopaedic Surgery CurrentSince Feb 1, 2006 Accepting new patients
Boston Sports & Shoulder Center, LLC Orthopaedic Surgery CurrentSince Feb 1, 2006 Accepting new patients

Locations

830 Boylston St
Ste 107
Chestnut Hill, MA 02467
Phone (617) 264-1100

830 Boylston St
Ste 106
Chestnut Hill, MA 02467
Phone (617) 277-1205

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.richmond.4@749.direct.athenahealth.com

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1851493928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WINTER STREET",
            "address_2": "ATTN: BOSTON SPORTS & SHOULDER CENTER",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511433",
            "telephone_number": "781-890-2133",
            "fax_number": "781-890-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WINTER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511433",
            "telephone_number": "781-890-2133",
            "fax_number": "781-890-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "43010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.