Theodore D Richards, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

16113 Issued in TN

Practice address

2341 McCallie Ave
Plaza 3, Ste. 200
Chattanooga, TN 37404-3239

Phone

(423) 629-4106

Fax

(423) 629-4116

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

University of Tennessee, HSC, College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Imaging, LLCGroup PAC ID 4789639311, 17 clinicians

Plaza Radiology, PLLCGroup PAC ID 3971409160, 12 clinicians

Battlefield Imaging LLCGroup PAC ID 8123014677, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Plaza Radiology, PLLC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1609836584

  TN

  Medicare reassignment Care Compare group NPD
• Prime Imaging, LLC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1548289507

  TN

  Medicare reassignment Care Compare group NPD
• Battlefield Imaging LLC

  • Diagnostic Radiology Physician
  • Ringgold, GA
  • NPI 1265451215

  GA

  Medicare reassignment Care Compare group NPD
• Diagnostic Cardiology Group

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1437148152

  GA, TN

  Medicare reassignment Authorized official
• Diagnostic Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1427071430

  TN

  Medicare reassignment NPD
• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  TN

  Medicare reassignment
• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057
  NPD (past)
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  NPD (past)
• Memorial Health Care System, Inc.

  • Cardiovascular Disease Physician
  • Chattanooga, TN
  • NPI 1851695480

  Cardiovascular Disease

  NPD (past)
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489
  NPD (past)
• Phoenix Cardiovascular Institute LLC

  • Interventional Cardiology Physician
  • Ringgold, GA
  • NPI 1548967193

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1891784518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA 3, STE. 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-629-4106",
            "fax_number": "423-629-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA 3, STE. 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-629-4106",
            "fax_number": "423-629-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "THEODORE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "16113",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "16113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stephen Rich, MD
• Sarah Pilcher Rich, RN IBCLC
• Richard C Morrison MD PC
• Richard Lewallen Pmhnp-BC
• Adrianna Rain Richards
• Travis M Richards, CRNA
• Carter Joseph Richardson
• Heather Lauren Richardson, FNP-BC
• James Eric Richardson, M.D.
• John Paul Richardson, FNP

• All providers in Chattanooga, TN
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.

Verify at the official NPI Registry.