Individual provider Active NPI

Richard Johnston Lichti Jr., MD

  • Family Medicine Physician
  • Rocklin, CA
National Provider Identifier
1912915778
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83419 Issued in CA
Practice address
6805 Five Star Blvd
100
Rocklin, CA 95677-2684
Phone
(916) 624-3500
Fax
(916) 624-3351
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83419 CA Primary

Addresses

Primary practice location

6805 Five Star Blvd
100
Rocklin, CA 95677-2684

Mailing address

6805 Five Star Blvd
100
Rocklin, CA 95677-2684
Phone (916) 624-3500

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ26454ZOtherCAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040719000811 CA Practitioner - Family Practice 0840279238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Placer Private Physicians IncGroup PAC ID 3476775040, 3 clinicians

Practice addresses (Care Compare)

6960 Destiny Dr
Suite 100
Rocklin, CA 95677-2995
Phone (916) 624-1777

Hospital & facility affiliations

  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
95.43
Promoting interoperability
100
Improvement activities
40
Cost
65.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions49
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83419CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Placer Private Physicians Inc Family Medicine CurrentSince Oct 28, 2014 Accepting new patients
Roseville Urology, Inc. Past Accepting new patients

Locations

6960 Destiny Dr
Ste 100
Rocklin, CA 95677
Phone (916) 624-1777

Interoperability endpoints

  • Direct secure messaging: rlichtimd36866@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1912915778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD",
            "address_2": "100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772684",
            "telephone_number": "916-624-3500",
            "fax_number": "916-624-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD",
            "address_2": "100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772684",
            "telephone_number": "916-624-3500",
            "fax_number": "916-624-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTI",
        "first_name": "RICHARD",
        "middle_name": "JOHNSTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ26454Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.