DR. PHILLIP QUINN RICHARDS MD
NPI 1417645151
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since May 01, 2023PECOS Enrolled
12631 E 17TH AVE RM 3001, AURORA, CO 80045(303) 724-1965 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phillip Quinn Richards Md NPPES

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

DR. PHILLIP QUINN RICHARDS MD (NPI 1417645151) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009711) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417645151
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILLIP QUINN RICHARDSCredential: MD
Location Address12631 E 17TH AVE RM 3001Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Rm 3001Aurora, CO 80045-2527 · (303) 724-1965
Sole ProprietorNo
Enumeration DateMay 1, 2023
NPPES CertifiedApril 30, 2023
NPI 1417645151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL.0009711
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12631 E 17TH AVE RM 3001, Aurora, CO 80045

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. Phillip Quinn Richards Md 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.

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 Phillip Richards's NPI number?

The NPI number for Phillip Richards is 1417645151. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Phillip Richards located?

Phillip Richards practices at 12631 E 17th Ave Rm 3001, Aurora, CO 80045. The listed phone number is (303) 724-1965.

What is Phillip Richards's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Richards enrolled in Medicare?

Yes. Phillip Richards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Richards was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.