Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Baxter Key Richardson IV, MD

Individual provider Internal Medicine Physician · NPI 1306109905

Dr. Baxter Key Richardson IV, MD is a Diagnostic Radiology in Jackson, California. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2012, 14 years ago. Practices with Mother Lode Diagnostic Imaging Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California and Iowa.

Years since qualifying
14
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA, IA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Mission Blvd
Jackson, CA 95642-2564
Phone: (209) 223-7560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A148942 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R9512 (IA)

Record details

NPI number1306109905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mother Lode Diagnostic Imaging Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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