Daniel Michael Ricci, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30463 Issued in NC

Practice address

207 E Murphy St
Wallace, NC 28466-1946

Phone

(910) 285-4100

Fax

(910) 285-4766

NPI assigned

Jul 20, 2005

Last updated

May 4, 2020By the provider in NPPES

Sex

Male

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 NC

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

Internal Medicine

Education

Hahnemann University College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wallace Urgent Care LLCGroup PAC ID 6709967912, 8 clinicians

Daniel M Ricci M.D. P.a.Group PAC ID 8729990361, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.ricci.1@25088.direct.athenahealth.com
• Direct secure messaging: daniel.ricci@direct.dmr.nchie.net

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.

• Daniel M Ricci M.D. P.a.

  • Internal Medicine Physician
  • Wallace, NC
  • NPI 1689673618
  Medicare reassignment Care Compare group NPD Authorized official
• Wallace Urgent Care LLC

  • Internal Medicine Physician
  • Wallace, NC
  • NPI 1841259025
  Medicare reassignment Care Compare group NPD
• Urgent Care of Wallace, PLLC

  • Urgent Care Clinic/Center
  • Wallace, NC
  • NPI 1699372243
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duplin General Hospital Incorporated

  dba ECU Health Duplin Hospital

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Burgaw, NC
  • NPI 1780653865
  Care Compare affiliation

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1528067519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284660968",
            "telephone_number": "910-285-4100",
            "fax_number": "910-285-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E MURPHY ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661946",
            "telephone_number": "910-285-4100",
            "fax_number": "910-285-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "30463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71519",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "29856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dametri Pratt
• Premise Health of North Carolina Medical PC (House of Raeford Health & Wellness Center)
• Lauren Prentice, PHARMD
• Shanna Bond Raynor
• Realo Discount Drug Stores of Eastern North Carolina, Inc (Realo Discount Drugs)
• Donna Roberts Rice, RPH
• J Daniel Robinson III, OD
• Carrie Kyper Royer, PA-C
• Victor Jones Russell, LCAS, CSAC
• RX Medeq LLC

• Internal Medicine Physician in Wallace, NC
• Providers in Wallace, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.