Individual provider Active NPI

Louis J Riccardo, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1174837397
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2679 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2147
Phone
(423) 778-5179
Fax
(423) 778-2108
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2679 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2147

Mailing address

975 E 3Rd St
Chattanooga, TN 37403-2147
Phone (423) 778-5179

Other identifiers 1

IdentifierTypeStateIssuer
Q045740MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 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
I20130204000083 MI Practitioner - Family Practice 2769636596 Reassigns benefits to 1 organization
I20181206001375 TN Practitioner - Family Practice 2769636596 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 266-1490

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2679TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC CurrentSince Mar 17, 2023 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Cookeville Hospitalist Group, PLLC CurrentSince Aug 1, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince Mar 31, 2022 Accepting new patients
Erlanger Health Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jan 1, 2019 Accepting new patients
Apogee Medical Group, Michigan, PC CurrentSince Dec 15, 2016 Accepting new patients
Erlanger Health Family Medicine Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1114 W Madison Ave
Athens, TN 37303
Phone (423) 744-3256

1635 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 541-5102

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

975 E 3rd St
#412
Chattanooga, TN 37403
Phone (423) 778-4409

325 Market St
Chattanooga, TN 37402
Phone (423) 541-5122

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

9448 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 778-5445

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 11

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 1

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1174837397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-5179",
            "fax_number": "423-778-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032147",
            "telephone_number": "423-778-5179",
            "fax_number": "423-778-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDO",
        "first_name": "LOUIS",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q045740",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.