Individual provider Active NPI

Riico Joseph Noriega Dotson, MD

  • Orthopaedic Surgery Physician
  • Red Bluff, CA
National Provider Identifier
1336117696
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A83526 Issued in CA
Practice address
345 Hickory St
Red Bluff, CA 96080-2771
Phone
(530) 243-7200
Fax
(530) 243-7277
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A83526 CA Primary

Addresses

Primary practice location

345 Hickory St
Red Bluff, CA 96080-2771

Mailing address

PO Box 8280
Red Bluff, CA 96080
Phone (530) 243-7200

Other identifiers 1

IdentifierTypeStateIssuer
00A835260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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
I20120201000348 CA Practitioner - Orthopedic Surgery 2961426952 Practice locations: Red Bluff, CA; Redding, CA
O20111121000844 CA DME Supplier - Physician - General Surgery 2365616752 Practice locations: Red Bluff, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mayo Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

345 Hickory St
Red Bluff, CA 96080-2771
Phone (530) 528-4433

6512 Westside Rd
Suite F
Redding, CA 96001-4868
Phone (530) 243-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83526CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Tate, M.D. Past Accepting new patients

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 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1336117696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8280",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "96080",
            "telephone_number": "530-243-7200",
            "fax_number": "530-243-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 HICKORY ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802771",
            "telephone_number": "530-243-7200",
            "fax_number": "530-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "RIICO",
        "middle_name": "JOSEPH NORIEGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A83526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A835260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.