MELVIN D RICHARDSON (MD) – Family Medicine Physician, NPI 1336158484

MELVIN D RICHARDSON (MD) is a healthcare provider. based in Gary, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01055493A (IN). The NPI Number for MELVIN D RICHARDSON (MD) is 1336158484

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MELVIN D RICHARDSON (MD)
NPI
1336158484
Phone
(219) 880-1190
Address
1021 W 5TH AVE
Enumeration Date
7 August 2006
Last Update Date
28 July 2016

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2198801190
Graduation Year
1998 (28 years ago)
PAC ID
8729154851
Group Practice PAC ID
6305852344
Professional Enrollment ID
I20080913000091
Address ID
IN464021703GA1021XAVEX400
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

2,862 FAMILY PRACTICE in IN

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Provider Addresses for MELVIN D RICHARDSON (MD)

  • 1021, West 5th Avenue, Downtown West, Gary, Lake County, Indiana, 46402, United States

    GARY, IN 464021703

    Phone: (219) 880-1190

    Fax: (219) 880-0784

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-01 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-01

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: 2008-09-13

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
I20080913000091IFamily PracticeINTBD

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 46402)

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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: 6305852344View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MELVIN D RICHARDSON (MD)?
NPI 1336158484 is assigned to MELVIN D RICHARDSON (MD) under the national enumeration system.
Does this profile mean MELVIN D RICHARDSON (MD) is currently active?
Yes — MELVIN D RICHARDSON (MD) appears active in the national provider directory.
Can you summarize MELVIN D RICHARDSON (MD)'s specialty in plain language?
Clinically, the directory lists MELVIN D RICHARDSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MELVIN D RICHARDSON (MD)?
The snapshot lists Gary, Indiana for MELVIN D RICHARDSON (MD); download NPPES for the complete set.
How can I contact MELVIN D RICHARDSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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