Individual provider Active NPI

Robert Mason Ricketts III, MD

  • Anesthesiology Physician
  • Charlottesville, VA
National Provider Identifier
1467749606
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101277346 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0010
Phone
(434) 924-2283
Fax
(434) 982-0019
NPI assigned
Jul 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D88820 MD
Anesthesiology Physician 207L00000X 60644 KY
Pediatric Anesthesiology Physician 207LP3000X 60644 KY
Cardiovascular Disease Physician 207RC0000X 0101277346 VA
Pediatrics Physician 208000000X D88820 MD
Anesthesiology Physician 207L00000X 0101277346 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0010

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

800 Rose St
Lexington, KY 40536-0010
Phone (859) 323-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, KY, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200812001877 MD Practitioner - Pediatric Medicine 3779909494 Reassigns benefits to 1 organization
I20230831003557 VA Practitioner - AnesthesiologyPractitioner - Cardiovascular Disease (Cardiology) 3779909494 Reassigns benefits to 4 organizations
I20250819003787 KY Practitioner - Anesthesiology 3779909494 Reassigns benefits to 2 organizations
I20251216003876 OH Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 3779909494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D88820MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Sep 16, 2024 Accepting new patients
MCV Associated Physicians Anesthesiology CurrentSince Dec 15, 2024 Accepting new patients
Children's Hospital Medical Center Pediatric Anesthesiology CurrentSince Oct 6, 2025 Accepting new patients
Johns Hopkins University CurrentSince Aug 3, 2020 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Oct 7, 2023 Accepting new patients
University of Kentucky CurrentSince Aug 5, 2025 Accepting new patients
Johns Hopkins University Anesthesiology CurrentSince Aug 3, 2020 Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 25, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Oct 7, 2023 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

2765 Chapel Pl
Crestview Hills, KY 41017
Phone (859) 344-1900

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

600 N Wolfe St
Baltimore, MD 21287

1800 Orleans St
#6321
Baltimore, MD 21287
Phone (410) 955-6412

4940 Eastern Ave
Baltimore, MD 21224

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

1000 E Broad St
Richmond, VA 23219

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Interoperability endpoints

  • Direct secure messaging: rricketts725231@direct.hopkinsmedicine.org
  • Direct secure messaging: rricketts579280@direct.healthsystem.virginia.edu

Organizations & group practices 10

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 2

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1467749606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080010",
            "telephone_number": "434-924-2283",
            "fax_number": "434-982-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360010",
            "country_code": "US",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "ROBERT",
        "middle_name": "MASON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D88820",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "60644",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "60644",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101277346",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D88820",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101277346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.