Individual provider Active NPI

Richard R Riccardi, M.D.

  • Anesthesiology Physician
  • Newburyport, MA
National Provider Identifier
1003874470
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
227470 Issued in MA
Practice address
260 Merrimac St
Newburyport, MA 01950-2192
Phone
(978) 465-3033
Fax
(978) 685-7265
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 227470 MA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 227470 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 13354 NH

Addresses

Primary practice location

260 Merrimac St
Newburyport, MA 01950-2192

Mailing address

354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754
Phone (978) 687-2321

Other identifiers 10

IdentifierTypeStateIssuer
2120097MedicaidMA
01Y010940MA02OtherNHANTHEM BCBSNH
30206072MedicaidNH
0039876OtherNHNEIGHBORHOOD HEALTH PLAN
1416266OtherAETNA
4786723OtherCIGNA
AA74844OtherHARVARD PILGRIM HEALTH CARE
495369OtherTUFTS HEALTH PLAN
96533502OtherMANETWORK HEALTH
J40323OtherMABCBSMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000334 MA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1759384233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivs Anesthesia LLCGroup PAC ID 9537233010, 9 clinicians

Practice addresses (Care Compare)

349 N Main St
Andover, MA 01810-2687
Phone (978) 475-0959

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
77.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ivs Anesthesia, LLC Anesthesiology CurrentSince Jan 21, 2019 Accepting new patients
Merrimack Valley Anesthesia Anesthesiology Past Accepting new patients
Merrimack Valley Anesthesia Associates, PC Anesthesiology Past Accepting new patients

Locations

349 N Main St
Andover, MA 01810
Phone (978) 475-0959

91 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-1952

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1003874470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
            "address_2": "BLDG. 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-685-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MERRIMAC ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502192",
            "telephone_number": "978-465-3033",
            "fax_number": "978-685-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "227470",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "227470",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "13354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBSNH",
            "identifier": "01Y010940MA02",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206072",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0039876",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1416266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4786723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA74844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "495369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "96533502",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J40323",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.