Individual provider Active NPI

Kevin A Richardson, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albuquerque, NM
National Provider Identifier
1861496762
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2001-290 Issued in NM
Practice address
502 Elm St NE
Albuquerque, NM 87102-2512
Phone
(505) 841-1000
Fax
(505) 843-2592
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101287810 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036125892 IL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2001-290 NM Primary

Addresses

Primary practice location

502 Elm St NE
Albuquerque, NM 87102-2512

Mailing address

502 Elm St NE
Albuquerque, NM 87102-2512
Phone (505) 841-1000

Other practice location 1

1880 Amherst St Ste 310
Winchester, VA 22601
Phone (540) 536-6721

Other practice location 2

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other identifiers 3

IdentifierTypeStateIssuer
J1459MedicaidNM
01618941OtherILBLUECROSS BLUESHIELD
036125892MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krichardson1507740@ValleyHealth.direct-ci.com
Direct Messaging Address krichardson1507740@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160130000041 NM Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1153405436 Reassigns benefits to 3 organizations
I20260112001400 VA Practitioner - Thoracic Surgery 1153405436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Meharry Medical College School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Medical CenterGroup PAC ID 0244134021, 313 clinicians
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1880 Amherst St
Suite 300
Winchester, VA 22601-2808
Phone (540) 536-6721

4351 E Lohman Ave
Suite 202
Las Cruces, NM 88011-8260
Phone (575) 522-5955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101287810VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 22, 2017 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Dec 31, 2025 Accepting new patients
Winchester Medical Center Current Accepting new patients
Unm Medical Group Inc CurrentSince Sep 22, 2017 Accepting new patients
Winchester Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 31, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2019 Accepting new patients
Winchester Medical Center Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

502 Elm St NE
Albuquerque, NM 87102

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

311 W Country Club Rd
Ste 1
Roswell, NM 88201
Phone (575) 623-2836

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1880 Amherst St
Ste 300
Winchester, VA 22601
Phone (540) 536-6721

1880 Amherst St
Ste 310
Winchester, VA 22601
Phone (540) 536-6721

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: krichardson10573@ahs.direct-ci.com
  • Direct secure messaging: krichardson1507740@valleyhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1861496762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 AMHERST ST STE 310",
            "address_purpose": "LOCATION",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "country_code": "US",
            "telephone_number": "540-536-6721",
            "fax_number": "540-536-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 AMHERST ST",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101287810",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036125892",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "2001-290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J1459",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01618941",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125892",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krichardson1507740@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1840 AMHERST ST",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krichardson1507740@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1880 AMHERST ST STE 310",
            "city": "WINCHESTER",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.