Active NPI
Richard James Ricca, M.D., F.A.C.S.
- Specialist
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 143299
- Practice address
- 335A Meeting House LN
Southampton, NY 11968-5051 - Phone
- (631) 287-6570
- Fax
- (631) 287-6578
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 143299 | NY | Primary |
Addresses
Primary practice location
335A Meeting House LN
Southampton, NY 11968-5051
Mailing address
335A Meeting House LN
Southampton, NY 11968-5051
Phone (631) 287-6570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00929039 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Meeting House LN
Southampton, NY 11968-5009
Phone (631) 726-8400
325 Meeting House LN
Southampton, NY 11968-7000
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- richard.ricca.p1@direct.shproviders.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Specialist
- Southampton, NY
- NPI 1083839617
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1003887878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335A MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685051",
"telephone_number": "631-287-6570",
"fax_number": "631-287-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335A MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685051",
"telephone_number": "631-287-6570",
"fax_number": "631-287-6578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCA",
"first_name": "RICHARD",
"middle_name": "JAMES",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "143299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00929039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.