Edward Joseph Ricciardelli, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

9600699 Issued in NC

Practice address

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019

Phone

(910) 794-5355

Fax

(910) 794-5358

NPI assigned

Jun 16, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Plastic and Reconstructive SurgeryAlso: Otolaryngology

Education

University of Virginia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Plastic Surgery and Dermatology, PLLCGroup PAC ID 1153723531, 11 clinicians

Summit Cosmetic Surgery Center,PAGroup PAC ID 7911973987, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

83.12

Promoting interoperability

100

Improvement activities

40

Cost

79.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ericciardelli205770@direct.novanthealth.org
• Direct secure messaging: ricciardelli@summitplastics.emadirect.md
• Direct secure messaging: ricciardelli@summitderma.emadirect.md

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.

• Summit Cosmetic Surgery Center,PA

  • Surgery Physician
  • Wilmington, NC
  • NPI 1922061092
  Medicare reassignment Care Compare group NPD Authorized official
• Summit Plastic Surgery & Dermatology, PLLC

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1437749330
  Medicare reassignment Care Compare group
• Summit Cosmetic Surgery Center

  • Specialist
  • Wilmington, NC
  • NPI 1346607066
  NPD

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

• Brunswick Community Hospital, LLC

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1073518064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-794-5355",
            "fax_number": "910-794-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDELLI",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "9600699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "011E3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8971471",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "71471",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1328886",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Nicole Rhodes
• Stephanie Rhodes, PT
• Carmen J Ricanek-Clinton, DOULA
• Eline Ray Ricci, LCSWA
• Lisa Leigh Ricci, PA-C
• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates I, DDS, P.a.
• Riccobene & Associates Xiii, DDS, P.a.

• Plastic Surgery Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.

Verify at the official NPI Registry.