Denise M Ricker, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G62963 Issued in CA

Practice address

2905 Telegraph Ave
Berkeley, CA 94705-2063

Phone

(510) 841-0411

Fax

(510) 845-5030

NPI assigned

Sep 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

Ohio State University College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Nephrology Medical Group IncGroup PAC ID 1759377757, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: denise.ricker.1@6134.direct.athenahealth.com
• Direct secure messaging: dricker14498@alamedahs.direct-ci.com

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.

• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • Vallejo, CA
  • NPI 1184719809
  Medicare reassignment Care Compare group NPD
• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • San Pablo, CA
  • NPI 1275628992
  NPD
• East Bay Nephrology Medical Group, Inc.

  • Nephrology Physician
  • Berkeley, CA
  • NPI 1871699074
  NPD
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427155118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052063",
            "telephone_number": "510-841-0411",
            "fax_number": "510-845-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052063",
            "telephone_number": "510-841-0411",
            "fax_number": "510-845-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G62963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G629630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110065923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Richardson, M.D.
• Tracy Ann Richardson, L.AC.
• David L. Richman, MD
• Gary Richmond, NP
• Jacqueline Richter, M.D.
• Ricky Singh DMD a Professional Corporation
• Kathryn Ridall
• Suzanne Ridel, MSW/MPH
• Barbara Ridley, FNP
• Leah Christine Rieff, DNP, CNM

• Nephrology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• 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.

Verify at the official NPI Registry.