Individual provider Active NPI

Allen C Richmond, MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1902879232
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD014588E Issued in PA
Practice address
3998 Red Lion Rd Ste 302
Philadelphia, PA 19114-1441
Phone
(215) 824-1717
Fax
(215) 281-0759
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD014588E PA Primary

Addresses

Primary practice location

3998 Red Lion Rd Ste 302
Philadelphia, PA 19114-1441

Mailing address

3998 Red Lion Rd Ste 302
Philadelphia, PA 19114-1441
Phone (215) 824-1717

Other identifiers 3

IdentifierTypeStateIssuer
0053147000OtherKEYSTONE
0006169250001MedicaidPA
3341OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040805000209 PA Practitioner - Ophthalmology 6709857410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD014588EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen C Richmond MD PC Current Accepting new patients
Northern Ophthalmic Associates Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Northern Ophthalmic Associates Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients
Cataract and Primary Eye Care Service, LP Ophthalmology Past Accepting new patients

Locations

3998 Red Lion Rd
Ste 302
Philadelphia, PA 19114
Phone (215) 824-1717

500 York Rd
Ste 102
Rydal, PA 19046
Phone (215) 885-6830

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ophthalmic Associates 9 clinicians

Practice addresses (Care Compare)

500 York Rd
Suite 102
Jenkintown, PA 19046-2871
Phone (215) 885-6830

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1902879232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD STE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141441",
            "telephone_number": "215-824-1717",
            "fax_number": "215-281-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD STE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141441",
            "telephone_number": "215-824-1717",
            "fax_number": "215-281-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "ALLEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD014588E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0053147000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006169250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.