Individual provider Active NPI

Richard Earle Rochester, M.D.

  • Psychiatry Physician
  • Brentwood, TN
National Provider Identifier
1902802523
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18782 Issued in TN
Practice address
5123 Virginia Way
Suite C-11
Brentwood, TN 37027-7519
Phone
(615) 373-5205
Fax
(615) 373-5165
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18782 TN Primary

Addresses

Primary practice location

5123 Virginia Way
Suite C-11
Brentwood, TN 37027-7519

Mailing address

5123 Virginia Way
Suite C-11
Brentwood, TN 37027-7519
Phone (615) 373-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070604000640 TN Practitioner - Psychiatry 2668496894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Vanderbilt University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5123 Virginia Way
Suite C11
Brentwood, TN 37027-7557
Phone (615) 373-5205

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faiza Memon, MD PLLC CurrentSince Oct 9, 2022 Accepting new patients
Richland Creek Psychiatric Assoc. LLP Past Accepting new patients

Locations

5123 Virginia Way
Ste C11
Brentwood, TN 37027
Phone (615) 373-5205

Organizations & group practices 3

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1902802523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY",
            "address_2": "SUITE C-11",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277519",
            "telephone_number": "615-373-5205",
            "fax_number": "615-373-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY",
            "address_2": "SUITE C-11",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277519",
            "telephone_number": "615-373-5205",
            "fax_number": "615-373-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHESTER",
        "first_name": "RICHARD",
        "middle_name": "EARLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "18782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.