Individual provider Active NPI

Richard Russell Knight, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1922047786
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0850 Issued in TX
Practice address
4501 Stanley Ave
Fort Worth, TX 76115-2156
Phone
(817) 921-8880
Fax
(817) 921-8881
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-5419 AR
Family Medicine Physician 207Q00000X L0850 TX Primary

Addresses

Primary practice location

4501 Stanley Ave
Fort Worth, TX 76115-2156

Mailing address

PO Box 22217
Fort Worth, TX 76122-0001
Phone (817) 921-8880

Other identifiers 1

IdentifierTypeStateIssuer
52954OtherARBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0859TXMDDermatology Physician
C-5419ARMDEmergency Medicine Physician
L0850TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Baptist Theological Seminary Current Accepting new patients
Emcare DFW Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

4501 Stanley Ave
Fort Worth, TX 76115
Phone (817) 921-8880

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1922047786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22217",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761220001",
            "telephone_number": "817-921-8880",
            "fax_number": "817-921-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 STANLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761152156",
            "telephone_number": "817-921-8880",
            "fax_number": "817-921-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RICHARD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-5419",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52954",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.