Dr. Adam R Richards, M.D.
Pediatrics in Peoria, IL. Individual provider (NPI-1).
NPI number1750543765
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1750543765
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam R Richards
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2008
- Last updated
- Jun 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 125.054877 | IL | Yes |
Practice location
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 561-715-3483
Mailing address
530 Ne Glen Oak AvePeoria, IL 61637-0001
Phone 561-715-3483
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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