Active NPI
Benjamin J Ricke, M.D.
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01065630A
- Practice address
- I-65 at 21St Street
Methodist Hospital, Room B401
Indianapolis, IN 46206 - Phone
- (317) 962-5975
- NPI assigned
- Jun 29, 2007
- Last updated
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01065630A | IN | Primary |
Addresses
Primary practice location
I-65 at 21St Street
Methodist Hospital, Room B401
Indianapolis, IN 46206
Mailing address
584 N County Road 1050 E
Indianapolis, IN 46234-8936
Other practice location 1
395 Westfield Rd
Noblesville, IN 46060-1434
Phone (317) 776-7250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200955260 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bricke1005978@DirectC.mercy.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 N Madison Ave
Community Hospital of Anderson
Anderson, IN 46011-3453
Phone (765) 298-5141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065630A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epcha, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Community Hospital of Anderson | Emergency Medicine | Past | Accepting new patients |
Locations
1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488
1515 N Madison Ave
#O
Anderson, IN 46011
Phone (765) 298-5141
Interoperability endpoints
- bricke1005978@directc.mercy.net
- bricke62974@ecommunitydirect.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Anderson, IN
- NPI 1114292877
-
- Emergency Medicine Physician
- Anderson, IN
- NPI 1023056629
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1447457767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 N COUNTY ROAD 1050 E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462348936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "I-65 AT 21ST STREET",
"address_2": "METHODIST HOSPITAL, ROOM B401",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46206",
"telephone_number": "317-962-5975"
}
],
"practiceLocations": [
{
"address_1": "395 Westfield Rd",
"address_purpose": "LOCATION",
"city": "Noblesville",
"state": "IN",
"postal_code": "460601434",
"country_code": "US",
"telephone_number": "317-776-7250",
"fax_number": "317-776-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKE",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01065630A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200955260",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bricke1005978@DirectC.mercy.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "395 Westfield Rd",
"city": "Noblesville",
"state": "IN",
"country_code": "US",
"postal_code": "460601434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.