NPIMap

Individual provider Active NPI

Christopher M Ricketts, MD

  • Family Medicine Physician
  • Argos, IN
National Provider Identifier
1568464402
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01051336 Issued in IN
Practice address
530 N Michigan St
Argos, IN 46501-1134
Phone
(574) 892-5131
Fax
(574) 892-6349
NPI assigned
Aug 11, 2005
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01051336 IN Primary

Addresses

Primary practice location

530 N Michigan St
Argos, IN 46501-1134

Mailing address

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1044

Other identifiers 1

IdentifierTypeStateIssuer
200364510AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000286 IN Practitioner - General PracticePractitioner - Family Practice 2769444504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlawn HospitalGroup PAC ID 4082506993, shared by 17 NPIs, 30 clinicians

Practice addresses (Care Compare)

530 N Michigan
Argos Medical Center
Argos, IN 46501-1134
Phone (574) 892-5131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051336INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Sep 1, 2002 Accepting new patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Woodlawn Hospital Family Medicine Current Accepting new patients
Woodlawn Hospital Family Medicine CurrentSince Sep 1, 2002 Accepting new patients
Woodlawn Hospital Past Accepting new patients
Woodlawn Hospital Past Accepting new patients

Locations

530 N Michigan St
Argos, IN 46501
Phone (574) 892-5131

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: cricketts11962@direct.parkviewexchange.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/woodlwn-9af21c78

Organizations & group practices 6

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 9

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1568464402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-224-1044",
            "fax_number": "574-224-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MICHIGAN ST",
            "city": "ARGOS",
            "state": "IN",
            "postal_code": "465011134",
            "telephone_number": "574-892-5131",
            "fax_number": "574-892-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200364510A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Argos, IN

Sources for this page

Verify at the official NPI Registry.