RICHARD A. DOUGHERTY, MD, PA
NPI 1245429794
Internal Medicine in Charlotte, NC
About Richard A. Dougherty, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD A. DOUGHERTY, MD, PA (NPI 1245429794) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Darlene Philibert Dougherty, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Richard A. Dougherty, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Richard A. Dougherty, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D0911307
Richard A Dougherty MD PA · Charlotte, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard A. Dougherty, MD, PA's NPI number?
The NPI number for Richard A. Dougherty, MD, PA is 1245429794. It was assigned to this organization in the NPPES registry on October 22, 2007.
Where is Richard A. Dougherty, MD, PA located?
Richard A. Dougherty, MD, PA is located at 10450 Park Rd Suite 200, Charlotte, NC 28210. The listed phone number is (704) 541-9002.
What is Richard A. Dougherty, MD, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Richard A. Dougherty, MD, PA enrolled in Medicare?
Yes. Richard A. Dougherty, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Richard A. Dougherty, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Richard A. Dougherty, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Richard A. Dougherty, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D0911307) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Richard A. Dougherty, MD, PA accept?
Health plans from Cigna Healthcare list Richard A. Dougherty, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Richard A. Dougherty, MD, PA was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Richard A. Dougherty, Md, Pa · NPI 1245429794
Internal Medicine organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since October 22, 2007.
## Identity
- **NPI:** 1245429794 (Entity type: Organization)
- **Enumerated:** October 22, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Darlene Dougherty, MANAGER
## Practice location
- **Address:** 10450 PARK RD, SUITE 200, Charlotte, NC 28210-8403
- **Phone:** (704) 541-9002 · **Fax:** (704) 542-6701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1245429794) · Data from the CMS NPPES public registry.