TYRUN KEITH RICHARDSON M.D. NPI 1205834074

NPI Information

  • NPI: 1205834074
  • Provider Name: TYRUN KEITH RICHARDSON, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1965 S FREMONT AVE
    STE 370
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-0300

Map and Directions

Get Directions

NPI Details

Tyrun Keith Richardson, M.D. is an urology in Springfield, MO with 43 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Tyrun Keith Richardson, M.D. NPI is 1205834074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1983

The provider's business location address is:

1965 S FREMONT AVE
STE 370
SPRINGFIELD, MO
ZIP 65804-201
Phone: (417) 820-0300

The NPI 1205834074 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Automated urinalysis test (HCPCS:81003)
  • Urinalysis using microscope (HCPCS:81015)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
  • Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming (HCPCS:95972)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 7/14/2005 and was last updated on 6/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology04-33531KANSASNo
2208800000XUrology31026OKLAHOMANo
3208800000XUrology2016012292MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200615150AMEDICAIDKANSAS
2G93000005MEDICARE PIN
3200456750HMEDICAIDOKLAHOMA
4200566690AMEDICAIDOKLAHOMA
5PENDINGMEDICARE PINMISSOURI
6110403003MEDICARE PIN
7A10622MEDICARE UPIN
8PENDINGMEDICAIDMISSOURI
9OKA105715MEDICARE PINOKLAHOMA
10PENDINGMEDICAIDARKANSAS
11383334YK1NMEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.