NPIMap

Individual provider Active NPI

Ricardo E Pou, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1396847976
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
192097 Issued in NY
Practice address
300 Fort Washington Ave Ofc 1
New York, NY 10032-1323
Phone
(212) 316-3276
Fax
(212) 568-3688
NPI assigned
Sep 2, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 192097 NY Primary

Addresses

Primary practice location

300 Fort Washington Ave Ofc 1
New York, NY 10032-1323

Mailing address

300 Fort Washington Ave Ofc 1
New York, NY 10032-1323
Phone (212) 316-3276

Other identifiers 1

IdentifierTypeStateIssuer
01537402MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000137 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4183709744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Fort Washington Ave
Suite 1 South
New York, NY 10032-1323
Phone (212) 316-3276

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy950
Upper gastrointestinal (GI) endoscopy for acid reflux608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192097NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Comprehensive Care Center Inc. CurrentSince May 1, 2021 Accepting new patients
Dr. Ricardo E Pou Physician P.C. Gastroenterology CurrentSince Mar 1, 2001 Accepting new patients
Manhattan West Side Medical Service PLLC CurrentSince Mar 22, 2020 Accepting new patients
Dr Franz Goyzueta Past Accepting new patients
SLR FPP University Medical Practice Associates Gastroenterology Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Brooklyn Medical Associate, LFPC Past Accepting new patients

Locations

229 W 97th St
Apt 1D
New York, NY 10025
Phone (212) 316-3276

300 Fort Washington Ave
#1
New York, NY 10032

300 Fort Washington Ave
Ofc 1
New York, NY 10032
Phone (212) 316-3276

300 Fort Washington Ave
Ste 1
New York, NY 10032
Phone (212) 316-3276

629 W 185th St
New York, NY 10033
Phone (212) 781-9223

629 W 185th St
Ph
New York, NY 10033
Phone (212) 928-3900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rip9001@direct.nyp.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1396847976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FORT WASHINGTON AVE OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321323",
            "telephone_number": "212-316-3276",
            "fax_number": "212-568-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORT WASHINGTON AVE OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321323",
            "telephone_number": "212-316-3276",
            "fax_number": "212-568-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POU",
        "first_name": "RICARDO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "192097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01537402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.