1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Pediatrics
  6. NPI Profile

DR. KENNETH ERWIN RICHARDSON MD, PHD
NPI 1265571269
Pediatrics - Neonatal-Perinatal Medicine in Provo, UT

Active since February 06, 2007PECOS Enrolled

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Mar 7, 2023, Sep 8, 2021 (3 updates tracked since 2021).

About Dr. Kenneth Erwin Richardson Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH ERWIN RICHARDSON MD, PHD (NPI 1265571269) is an individual neonatal-perinatal medicine provider in Provo, Utah, licensed in Utah (295555-1205) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265571269
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KENNETH ERWIN RICHARDSONCredential: MD, PHD
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7707
Phone(801) 357-7707
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1265571269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in UT · 295555-1205
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Erwin Richardson Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

Frequently 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 Kenneth Richardson's NPI number?

The NPI number for Kenneth Richardson is 1265571269. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kenneth Richardson located?

Kenneth Richardson practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7707.

What is Kenneth Richardson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kenneth Richardson enrolled in Medicare?

Yes. Kenneth Richardson is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Richardson accept?

Health plans from Select Health list Kenneth Richardson 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 Kenneth Richardson was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.