Active NPI
Kevin A Richardson, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2001-290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J1459 | Medicaid | NM | |
| 01618941 | Other | IL | BLUECROSS BLUESHIELD |
| 036125892 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101287810 | VA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Shenandoah Valley Pathology Laboratories Inc | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Winchester Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | 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
- krichardson10573@ahs.direct-ci.com
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Anatomic Pathology & Clinical Pathology Physician
- Winchester, VA
- NPI 1447363114
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
-
- Vascular Surgery Physician
- Winchester, VA
- NPI 1942098512
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.