DR. MITCHELL ALLEN RICHARDS MD
NPI 1508507930
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is Mitchell Richards's NPI number?

The NPI number for Mitchell Richards is 1508507930. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Mitchell Richards's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mitchell Richards was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 07, 2022PECOS Enrolled

1 CHILDRENS WAY # 512-19A, LITTLE ROCK, AR 72202(501) 364-1874 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Apr 21, 2022, Apr 7, 2022 (3 updates tracked since 2022).

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About Dr. Mitchell Allen Richards Md NPPES

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

DR. MITCHELL ALLEN RICHARDS MD (NPI 1508507930) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508507930

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MITCHELL ALLEN RICHARDSCredential: MD

Location Address1 CHILDRENS WAY # 512-19ALittle Rock, AR 72202-3500

Mailing Address12905 Cherry Laurel DrLittle Rock, AR 72211-5458 · (479) 595-1182

Phone(501) 364-1874

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1508507930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

Also ListedPediatricsTaxonomy 208000000X · License E-19388 (AR)

1 CHILDRENS WAY # 512-19A, Little Rock, AR 72202

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Secondary Practice Location 1

Location 14301 W Markham St # 512-19ALittle Rock, AR 72205-7199 · Phone (501) 364-1874

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. Mitchell Allen Richards Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345628228

PECOS Enrollment IDI20260401001899

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.

MR. JONATHAN L ASKINS JR. MD

Student in an Organized Health Care Education/Training Program