Active NPI
David Riccio, MD
- Internal Medicine Physician
- East Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 022540
- Practice address
- 310 Main St
East Haven, CT 06512-2919 - Phone
- (203) 467-1800
- Fax
- (203) 468-8343
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022540 | CT | Primary |
Addresses
Primary practice location
310 Main St
East Haven, CT 06512-2919
Mailing address
9 Washington Ave
2ND Floor
Hamden, CT 06518-3267
Phone (203) 248-3013
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110179063 | Other | CT | RAILROAD MEDICARE |
| 010022540CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 022540 | Other | CT | CONNECTICARE |
| 2047711 | Other | CT | AETNA |
| NHP075 | Other | CT | OXFORD |
| 0Q2055 | Other | CT | HEALTH NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Internal Medicine
- Education
- North Carolina Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022540 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
26 Main St
East Haven, CT 06512
Phone (203) 467-1800
310 Main St
East Haven, CT 06512
Phone (203) 467-1800
9 Washington Ave
Fl 2
Hamden, CT 06518
Phone (860) 704-9153
2416 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4331
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- driccio4384@direct.ynhh.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Home Care Plus South Central Connecticut
- Home Health Agency
- New Haven, CT
- NPI 1043217482
-
dba Home Care Plus Inc
- Home Health Agency
- Milford, CT
- NPI 1407932056
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1083613509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WASHINGTON AVE",
"address_2": "2ND FLOOR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183267",
"telephone_number": "203-248-3013",
"fax_number": "203-248-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065122919",
"telephone_number": "203-467-1800",
"fax_number": "203-468-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIO",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "022540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110179063",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010022540CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "022540",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2047711",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NHP075",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0Q2055",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Haven, CT
- Denise Regino, COTA
- Renewed Hope Clinical Services, LLC
- Renzo Renzi, MD
- Ellen Riccardi
- Jessica Ricciardelli, APRN
- Rite Aid of Connecticut Inc (Rite Aid Pharmacy 04092)
- Rite Aid of Connecticut Inc (Rite Aid Pharmacy 04778)
- Rite Aid of Connecticut Inc (Rite Aid Pharmacy 03264)
- Debora Delocco Rivera, RN
- Phyllis Robinson, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.