Individual provider Active NPI

Katherine Ruth Richards, M.D.

  • Family Medicine Physician
  • Hazelwood, MO
National Provider Identifier
1942599808
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024024841 Issued in MO
Practice address
637 Dunn Rd Ste 102
Hazelwood, MO 63042-1747
Phone
(314) 817-2000
Fax
(314) 817-2350
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036134156 IL
Family Medicine Physician 207Q00000X 2024024841 MO Primary

Addresses

Primary practice location

637 Dunn Rd Ste 102
Hazelwood, MO 63042-1747

Mailing address

637 Dunn Rd Ste 102
Hazelwood, MO 63042-1747
Phone (314) 817-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20141014000977 MO Practitioner - Family Practice 6204057391 Reassigns benefits to 2 organizations
I20181201000083 IL Practitioner - Family Practice 6204057391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

637 Dunn Rd
Hazelwood, MO 63042-1755
Phone (314) 921-4500

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267565
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024024841MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Jun 1, 2023 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jun 1, 2023 Accepting new patients
SSM Medical Group Inc. CurrentSince Sep 3, 2014 Accepting new patients
SSM Medical Group, Inc. CurrentSince Sep 3, 2014 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Jul 29, 2024 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4 Memorial Dr
Ste 210
Alton, IL 62002
Phone (618) 463-5905

637 Dunn Rd
Ste 102B
Hazelwood, MO 63042
Phone (314) 251-2095

637 Dunn Rd
Ste 102
Hazelwood, MO 63042
Phone (314) 731-3111

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

9759 Manchester Rd
Saint Louis, MO 63119
Phone (314) 781-4922

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

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.

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1942599808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 DUNN RD STE 102",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421747",
            "telephone_number": "314-817-2000",
            "fax_number": "314-817-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DUNN RD STE 102",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421747",
            "telephone_number": "314-817-2000",
            "fax_number": "314-817-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KATHERINE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036134156",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024024841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.