Individual provider Active NPI

Christopher Michael Riccio, M.D.

  • Pediatrics Physician
  • Nashua, NH
National Provider Identifier
1013007301
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12317 Issued in NH
Practice address
17 Prospect St
Nashua, NH 03060-3923
Phone
(603) 594-6337
Fax
(603) 594-6330
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12317 NH
Pediatrics Physician 208000000X 12317 NH Primary

Addresses

Primary practice location

17 Prospect St
Nashua, NH 03060-3923

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900

Other identifiers 1

IdentifierTypeStateIssuer
30204320MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040730000963 NH Practitioner - Internal Medicine 5395715700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12317NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince Feb 13, 2006 Accepting new patients
Foundation Medical Partners Inc Internal Medicine CurrentSince Feb 13, 2006 Accepting new patients
CH DHC Inc Internal Medicine Past Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

280 Main St
Nashua, NH 03060
Phone (603) 577-3080

17 Prospect St
Nashua, NH 03060
Phone (603) 577-2663

17 Prospect St
Ste N103
Nashua, NH 03060

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

Interoperability endpoints

  • Direct secure messaging: criccio6681@direct.solutionhealth.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1013007301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603923",
            "telephone_number": "603-594-6337",
            "fax_number": "603-594-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12317",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "12317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204320",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.