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

Dr. Justin Nicklaus Richardson, MD

Individual provider Surgery Physician · NPI 1457663163

Dr. Justin Nicklaus Richardson, MD is a General Surgery in Leesburg, Virginia. Graduated from West Virginia University School of Medicine in 2009, 17 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Colorado and Virginia.

Years since qualifying
17
Trained at
West Virginia University School of Medicine
Licensed in
CO, VA
In the registry since
2010
Specialties on file
3
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

44055 Riverside Pkwy Ste 238
Leesburg, VA 20176-5178
Phone: (703) 858-8878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101282814 (VA)
Surgery Physician Taxonomy 208600000X · Licence CDRH.0053765 (CO)
Surgery Physician Taxonomy 208600000X · Licence DR.0053765 (CO)

Record details

NPI number1457663163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2010
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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