Active NPI
Ricardo Nimo, MD
- Internal Medicine Physician
- Centreville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16415
- Practice address
- 270 E Main St
Centreville, MS 39631-4200 - Phone
- (601) 645-5361
- NPI assigned
- May 19, 2006
- Last updated
- Nov 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16415 | MS | Primary |
Addresses
Primary practice location
270 E Main St
Centreville, MS 39631-4200
Mailing address
178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1560201 | Medicaid | LA | |
| 00121244 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16415 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Field Memorial Community Hospital | Current | Accepting new patients | |
| Natchez HB Medical Services LLC | Current | Accepting new patients | |
| App of Mississippi Ed, LLC | Current | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
178 Highway 24 E
Ste A
Centreville, MS 39631
Phone (601) 645-5361
178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077
270 E Main St
Centreville, MS 39631
Phone 6016455221335
178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
451 Bank St
Woodville, MS 39669
Phone (601) 888-3421
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Merit Health Natchez
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
dba Field Health System
- Critical Access Hospital
- Centreville, MS
- NPI 1871633347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merit Health Natchez
- General Acute Care Hospital
- Natchez, MS
- NPI 1164821559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1356395974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 HIGHWAY 24 E",
"city": "CENTREVILLE",
"state": "MS",
"postal_code": "396314171",
"telephone_number": "601-890-0520",
"fax_number": "601-645-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E MAIN ST",
"city": "CENTREVILLE",
"state": "MS",
"postal_code": "396314200",
"telephone_number": "601-645-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMO",
"first_name": "RICARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "16415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1560201",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121244",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.