Marcus Riccioni, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

013669 Issued in ME

Practice address

123 Medical Center Dr
Brunswick, ME 04011-2652

Phone

(207) 729-0181

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ME, VT, NY3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

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.

• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204

  VT

  Medicare reassignment NPD
• Down East Community Hospital

  • General Acute Care Hospital
  • Machias, ME
  • NPI 1689670242
  Medicare reassignment NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Maimonides Medical Center - MMC Emergency Physicians FPP

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1982708202
  Medicare reassignment NPD
• Down East Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Machias, ME
  • NPI 1336587542
  NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• Alamance Regional Medical Center, Inc

  • Pharmacy
  • Burlington, NC
  • NPI 1851681993
  NPD (past)
• Alamance Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Burlington, NC
  • NPI 1326010273
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1275615551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-865-1819",
            "fax_number": "207-865-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112652",
            "telephone_number": "207-729-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIONI",
        "first_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "013669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "F72448",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2421688",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099877",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8561900",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael F Reny, BS
• Sebastian Gonzales Reyes Jr., CRNA
• Jacques M. Reynolds, D.O.
• Marilyn Joyce Reynolds, LCSW
• Aloysius Kihyok Rho, MD
• Thomas Gerard Rice, DDS, MPH
• Cristin Rose Richards, AU.D.
• Elizabeth Richards, L.C.S.W.
• Melissa Ridlon
• Helge G Riemann, MD

• Emergency Medicine Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Emergency Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.