Organization provider

ST RICHARD'S CLINIC

Preventive Medicine/Occupational Environmental Medicine Physician Medicare enrolled

ST RICHARD'S CLINIC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104677962, based in Mason, OH. It is classified under Preventive Medicine/Occupational Environmental Medicine Physician.

Getting there

The practice address on file is 4834 SOCIALVILLE FOSTER RD STE 10, Mason, OH 45040. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4834 SOCIALVILLE FOSTER RD STE 10, Mason, OH 45040 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
8426596065
Enrollment ID
O20240814003068

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Preventive Medicine/Occupational Environmental Medicine covers

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. NUCC Health Care Provider Taxonomy, code 2083P0500X
Allopathic & Osteopathic Physicians Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104677962 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 29, 2024
Last updatedJun 5, 2026
StatusActive
Practice address 4834 SOCIALVILLE FOSTER RD STE 10
Mason, OH 45040
(615) 692-2002
This record was updated on Jun 5, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104677962 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 7 7 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 7 5 9 3

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104677962?
NPI 1104677962 is the National Provider Identifier assigned to ST RICHARD'S CLINIC in Mason, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Preventive Medicine/Occupational Environmental Medicine cover?
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
How do I contact ST RICHARD'S CLINIC?
The phone number on file with NPPES is (615) 692-2002, last updated Jun 5, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ST RICHARD'S CLINIC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104677962 a valid number?
Yes. 1104677962 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.