NPIMap

Individual provider Active NPI

Richard John Cross, MD

  • Nephrology Physician
  • Saint Clair Shores, MI
National Provider Identifier
1972771061
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301086082 Issued in MI
Practice address
29001 Harper Ave
Saint Clair Shores, MI 48081-2711
Phone
(586) 778-0664
Fax
(586) 778-0396
NPI assigned
Feb 12, 2008
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4301086082 MI Primary

Addresses

Primary practice location

29001 Harper Ave
Saint Clair Shores, MI 48081-2711

Mailing address

29001 Harper Ave
Saint Clair Shores, MI 48081-2711
Phone (586) 778-0664

Other identifiers 1

IdentifierTypeStateIssuer
OQ262160OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000492 MI Practitioner - NephrologyPractitioner - Internal Medicine 9931270261 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverview Lifeline Center PLLCGroup PAC ID 3870695232, 4 clinicians

Practice addresses (Care Compare)

11051 Hall Rd
Suite 240
Utica, MI 48317-5742
Phone (586) 295-8885

7633 E Jefferson Ave
Suite 330
Detroit, MI 48214-3732
Phone (313) 823-5338

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Lifeline Center PLLC CurrentSince Nov 21, 2011 Accepting new patients
Kidney Care Specialists of Michigan PC Nephrology CurrentSince Jul 12, 2011 Accepting new patients
Kidney and Vascular Associates PC Nephrology CurrentSince Mar 1, 2023 Accepting new patients
Amza Inc PastSince May 22, 2015 Accepting new patients

Locations

2038 Reliable Pkwy
Chicago, IL 60686

7633 E Jefferson Ave
Ste 330
Detroit, MI 48214
Phone (313) 823-5338

10861 W 10 Mile Rd
Oak Park, MI 48237
Phone (248) 268-1135

53950 Van Dyke Ave
Ste A
Shelby Township, MI 48316
Phone (248) 215-8095

29001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 778-0664

11051 Hall Rd
Ste 240
Utica, MI 48317
Phone (586) 295-8885

Interoperability endpoints

  • Direct secure messaging: rcross60765@direct.hfhs.org
  • Direct secure messaging: richard.cross.p23@direct.lifelinevascular.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1972771061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812711",
            "telephone_number": "586-778-0664",
            "fax_number": "586-778-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812711",
            "telephone_number": "586-778-0664",
            "fax_number": "586-778-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301086082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OQ262160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.