Active NPI
Ralph K Messo Jr., D.O.
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1255309175
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 184376
- Practice address
- 4143 Richmond Ave
Staten Island, NY 10312-5637 - Phone
- (718) 966-5556
- Fax
- (718) 966-7483
- NPI assigned
- Mar 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 184376 | NY | Primary |
| Pediatrics Physician | 208000000X | 184376 | NY |
Addresses
Primary practice location
4143 Richmond Ave
Staten Island, NY 10312-5637
Mailing address
4143 Richmond Ave
Staten Island, NY 10312-5637
Phone (718) 966-5556
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401475 | Other | NY | UNITED HEALTHCARE |
| NYM184376 | Other | NY | OXFORD MEDICARE |
| OP235 | Other | NY | OXFORD HEALTH PLANS |
| 13418106800 | Other | NY | TOUCHSTONE HEALTH PSO |
| 01460282 | Medicaid | NY | |
| 4566381 | Other | NY | AETNA |
| HEALTHNET | Other | NY | 1P0525 |
| 040184376NY02 | Other | NY | ANTHEM HEALTH NETWORK |
| MR4376 | Other | NY | ATLANTIS HEALTH PLAN |
| 184376 | Other | NY | HIP |
| 0451877 | Other | NY | AETNA/USHC |
| 162158 | Other | NY | ELDERPLAN |
| 1P0065 | Other | NY | TOUCHSTONE HEALTH PARTNER |
| 129AS1 | Other | NJ | EMPIRE BC/BS |
| 17G412 | Other | NY | EMPIRE BC/BS |
| 2698319 | Other | NY | GHI |
| Y044934 | Other | NY | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- ralph.messo.jr.1@22565.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1255309175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125637",
"telephone_number": "718-966-5556",
"fax_number": "718-966-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125637",
"telephone_number": "718-966-5556",
"fax_number": "718-966-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSO",
"first_name": "RALPH",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "184376",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "184376",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0401475",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD MEDICARE",
"identifier": "NYM184376",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "OP235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOUCHSTONE HEALTH PSO",
"identifier": "13418106800",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01460282",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4566381",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1P0525",
"identifier": "HEALTHNET",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH NETWORK",
"identifier": "040184376NY02",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HEALTH PLAN",
"identifier": "MR4376",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "184376",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "0451877",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "162158",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOUCHSTONE HEALTH PARTNER",
"identifier": "1P0065",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "129AS1",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "17G412",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2698319",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "Y044934",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.