Individual provider Active NPI

Ricardo Cestero, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023216835
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37307 Issued in AZ
Practice address
10835 N 25TH Ave
Suite 115
Phoenix, AZ 85029-4751
Phone
(602) 789-0344
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37307 AZ Primary
Internal Medicine Physician 207R00000X 16067 PR
Internal Medicine Physician 207R00000X ME98591 FL

Addresses

Primary practice location

10835 N 25TH Ave
Suite 115
Phoenix, AZ 85029-4751

Mailing address

1001 E Playa del Norte Dr
Suite 4402
Tempe, AZ 85281-2176
Phone (480) 560-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080619000118 AZ Practitioner - Internal Medicine 1759452766 Reassigns benefits to 1 organization
I20220513002017 FL Practitioner - Internal Medicine 1759452766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgewood Physician Services, LLCGroup PAC ID 0446594105, 47 clinicians

Practice addresses (Care Compare)

40100 Hwy 27
Davenport, FL 33837-5906
Phone (863) 422-4971

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16067PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist CurrentSince Apr 1, 2015 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Apr 1, 2015 Accepting new patients
Ridgewood Physician Services, LLC Hospitalist CurrentSince Apr 21, 2022 Accepting new patients
Lake Wales Physician Services, LLC Hospitalist CurrentSince Oct 8, 2023 Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1023216835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E PLAYA DEL NORTE DR",
            "address_2": "SUITE 4402",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812176",
            "telephone_number": "480-560-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 N 25TH AVE",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294751",
            "telephone_number": "602-789-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTERO",
        "first_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37307",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16067",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.