DANIEL J RICHARDSON (C-AA) – Anesthesiologist Assistant, NPI 1073395232

DANIEL J RICHARDSON (C-AA) is a healthcare provider. based in Saint louis, Missouri. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials C-AA. They hold a License No. PENDING (). The NPI Number for DANIEL J RICHARDSON (C-AA) is 1073395232

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL J RICHARDSON (C-AA)
NPI
1073395232
Phone
(636) 386-7222
Address
PO BOX 22407
Enumeration Date
20 October 2023
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
3145251000
Graduation Year
2024 (2 years ago)
PAC ID
8820531247
Group Practice PAC ID
4082510383
Professional Enrollment ID
I20240613002566
Address ID
MO631282106SA10010RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

357 ANESTHESIOLOGY ASSISTANT in MO

Provider Addresses for DANIEL J RICHARDSON (C-AA)

  • PO BOX 22407

    SAINT LOUIS, MO 631260407

    Phone: (636) 386-7222

    Fax: (636) 386-7810

    Type: Mailing

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-1000

    Type: Location

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: 2024-06-13

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
I20240613002566IAnesthesiology AssistantMOTBD

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 63126)

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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: 4082510383View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO

Reviews

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Frequently asked questions

How do I look up DANIEL J RICHARDSON (C-AA) by NPI?
Use NPI 1073395232 when you need to reference DANIEL J RICHARDSON (C-AA) in forms, claims, or directories.
Is DANIEL J RICHARDSON (C-AA) active in the national directory?
DANIEL J RICHARDSON (C-AA)'s public NPI profile is in an active state.
What field does DANIEL J RICHARDSON (C-AA) work in?
You can think of DANIEL J RICHARDSON (C-AA) as practicing within Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location shows for DANIEL J RICHARDSON (C-AA)?
We surface Saint Louis, Missouri for DANIEL J RICHARDSON (C-AA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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