JEROME RICHARDS (MD) – Anesthesiology Physician, NPI 1174540660

JEROME RICHARDS (MD) is a healthcare provider. based in Modesto, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. G48920 (CA). The NPI Number for JEROME RICHARDS (MD) is 1174540660

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
JEROME RICHARDS (MD)
NPI
1174540660
Phone
(209) 578-1211
Address
1441 FLORIDA AVE
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5597841110
Graduation Year
1981 (45 years ago)
PAC ID
3072600477
Group Practice PAC ID
3870964323
Professional Enrollment ID
I20071101000726
Address ID
CA932573320PO465XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for JEROME RICHARDS (MD)

  • Doctors Medical Center, 1441, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States

    MODESTO, CA 953504405

    Phone: (209) 578-1211

    Type: Location

  • PO BOX 28128

    FRESNO, CA 937298128

    Phone: (559) 436-0871

    Fax: (559) 436-5221

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071101000726IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870964323View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)TN
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is JEROME RICHARDS (MD)'s NPI number?
JEROME RICHARDS (MD)'s NPI is 1174540660 — the number used across U.S. healthcare to identify this provider.
Is JEROME RICHARDS (MD) shown as active in public data?
Registry records indicate JEROME RICHARDS (MD) maintains an active NPI.
What clinical focus is listed for JEROME RICHARDS (MD)?
At a glance, JEROME RICHARDS (MD) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is JEROME RICHARDS (MD) located near Modesto?
JEROME RICHARDS (MD) currently maps to Modesto, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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