KELLY R. RICHARDSON (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1922184449

KELLY R. RICHARDSON (MD) is a healthcare provider. based in Oakland, California. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 57951 (TN). The NPI Number for KELLY R. RICHARDSON (MD) is 1922184449

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KELLY R. RICHARDSON (MD)
NPI
1922184449
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
27 October 2006
Last Update Date
21 September 2018

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4236972000
Graduation Year
1998 (28 years ago)
PAC ID
3678593985
Group Practice PAC ID
8628978210
Professional Enrollment ID
I20181111000007
Address ID
TN374040000CH2525XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

91 CARDIAC ELECTROPHYSIOLOGY in TN

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Provider Addresses for KELLY R. RICHARDSON (MD)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123429

    Phone: (510) 625-6262

    Type: Mailing

  • Citico Avenue, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37406, United States

    CHATTANOOGA, TN 374041127

    Phone: (423) 697-2000

    Fax: (423) 697-2118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $3,176.

Total Amount is formed as General ($3,176) + Research ($0) + Ownership ($0) = $3,176.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($1,844).

Total Amount

$3,176

General + Research + Ownership

Payments

59

Total payment records

General Amount

$3,176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-11

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
I20181111000007ICardiac ElectrophysiologyTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes499335$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report468362$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days465209$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days330146$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec27163$0
View full utilization report →

Insurance plans in this area (ZIP 94612)

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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: 8628978210View full group profile
NameSpecialtyState
-TN
Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Cardiovascular Disease (Cardiology)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology)CT
Thoracic Surgery, Cardiac Surgery, Vascular SurgeryGA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyTN

Reviews

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Frequently asked questions

What identifier follows KELLY R. RICHARDSON (MD) across health systems?
The NPI 1922184449 uniquely identifies KELLY R. RICHARDSON (MD) in U.S. healthcare data.
Should I treat KELLY R. RICHARDSON (MD) as an active provider?
Patients and plans typically see KELLY R. RICHARDSON (MD) as active in the national extract.
How should patients interpret KELLY R. RICHARDSON (MD)'s specialty?
The extract shows Clinical Cardiac Electrophysiology Physician for KELLY R. RICHARDSON (MD). Clinical services aligned with this taxonomy classification.
What city is tied to KELLY R. RICHARDSON (MD)?
The directory associates KELLY R. RICHARDSON (MD) with Oakland, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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