Organization Active NPI

Richmond Primary Care, PLLC

  • Primary Care Clinic/Center
  • Richmond, KY
National Provider Identifier
1861750838
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
36218 Issued in KY
Legal business name
RICHMOND PRIMARY CARE, PLLC
Practice address
1024 Ival James Blvd Ste B
Richmond, KY 40475-7622
Phone
(859) 353-8041
Fax
(859) 353-8042
NPI assigned
Apr 27, 2012
Organization subpart
Yes
Parent organization
RICHMOND PRIMARY CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Dr. Nuzhat NaqviNPI 1669453551
Title
Medical Doctor
Phone
(859) 353-8041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 36218 KY Primary

Addresses

Primary practice location

1024 Ival James Blvd Ste B
Richmond, KY 40475-7622

Mailing address

1024 Ival James Blvd Ste B
Richmond, KY 40475-7622
Phone (859) 353-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000449 KY Part B Supplier - Clinic/Group Practice 7911163019 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2043225Richmond Primary Care, PLLC1024 Ival James Blvd, Suite B, Richmond, KY 40475Provider-performed microscopyJun 27, 2028

National Provider Directory

National Provider Directory
Part of
Richmond Primary Care PLLC

Locations

1024 Ival James Blvd
Ste B
Richmond, KY 40475
Phone (859) 353-8041

1018 Ival James Blvd
Ste A
Richmond, KY 40475
Phone (859) 544-1068

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13770/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1861750838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 IVAL JAMES BLVD STE B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757622",
            "telephone_number": "859-353-8041",
            "fax_number": "859-353-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 IVAL JAMES BLVD STE B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757622",
            "telephone_number": "859-353-8041",
            "fax_number": "859-353-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PRIMARY CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHMOND PRIMARY CARE, PLLC",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "NUZHAT",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "859-353-8041",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "36218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.