NPIMap

Individual provider Active NPI

Nick Joseph Riccardo, M.D.

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1124134879
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-092413 Issued in IL
Practice address
3100 W Higgins Rd Ste 125
Hoffman Estates, IL 60169-7203
Phone
(847) 884-7111
Fax
(847) 884-7156
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-092413 IL Primary

Addresses

Primary practice location

3100 W Higgins Rd Ste 125
Hoffman Estates, IL 60169-7203

Mailing address

1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 469-9200

Other identifiers 2

IdentifierTypeStateIssuer
036092413MedicaidIL
31603039OtherILBCBS ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nriccardo173966@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000409 IL Practitioner - Internal Medicine 6608875836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5980 Route 53
Suite B
Lisle, IL 60532-3389
Phone (630) 355-6040

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092413ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Medical Group Internal Medicine CurrentSince Apr 11, 2025 Accepting new patients

Locations

5980 Route 53
Ste B
Lisle, IL 60532
Phone (630) 355-6040

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.

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1124134879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 125",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697203",
            "telephone_number": "847-884-7111",
            "fax_number": "847-884-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDO",
        "first_name": "NICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-092413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092413",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "31603039",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nriccardo173966@direct.edward.org",
            "affiliation": "N",
            "address_1": "3100 W Higgins Rd Ste 125",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601697203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.