Individual provider Active NPI

Jose Ricardo PO, M.D.

  • Cardiovascular Disease Physician
  • Three Rivers, MI
National Provider Identifier
1073743118
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301111602 Issued in MI
Practice address
711 S Health Pkwy
Three Rivers, MI 49093-9387
Phone
(269) 278-1145
NPI assigned
Jul 23, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301111602 MI Primary

Addresses

Primary practice location

711 S Health Pkwy
Three Rivers, MI 49093-9387

Mailing address

1722 Shaffer Street
Kalamazoo, MI 49048

Other practice location 1

1111 Amsterdam Ave
S&R, 3rd Floor, Division of Cardiology
New York, NY 10025-1716
Phone (212) 523-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170710002439 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931497666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1241 W Broadway St
Three Rivers, MI 49093-8319
Phone (269) 273-9539

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone (269) 343-1555

3025 Gull Rd
Kalamazoo, MI 49048-1281
Phone (269) 552-2225

3035 Capital Ave SW
Battle Creek, MI 49015-4334

411 Naomi St
Plainwell, MI 49080-1222
Phone (269) 685-6811

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 782-8681

711 S Health Pkwy
Three Rivers, MI 49093-9387

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc CurrentSince Oct 2, 2023 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jul 16, 2018 Accepting new patients
Beacon Dowagiac Inc CurrentSince Oct 2, 2023 Accepting new patients
Promed Healthcare CurrentSince Jul 3, 2017 Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jul 16, 2018 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease CurrentSince Jul 3, 2017 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

671 Allegan St
Plainwell, MI 49080
Phone (269) 226-5338

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073743118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939387",
            "telephone_number": "269-278-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Amsterdam Ave",
            "address_2": "S&R, 3rd Floor, Division of Cardiology",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251716",
            "country_code": "US",
            "telephone_number": "212-523-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PO",
        "first_name": "JOSE RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301111602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.