Individual provider Active NPI

Benjamin J Ricke, M.D.

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1447457767
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01065630A Issued in IN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200955260MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000162 IN Practitioner - Emergency Medicine 0042357261 Reassigns benefits to 1 organization

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
Epcha, PCGroup PAC ID 8628231602, 4 clinicians

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

LicenseStateTypeSpecialty
01065630AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epcha, PC Emergency Medicine CurrentSince Feb 7, 2012 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

  • Direct secure messaging: bricke1005978@directc.mercy.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.