Organization Active NPI

Richard a Fici DO PLLC

  • Family Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1598922783
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008247 Issued in MI
Legal business name
RICHARD A FICI DO PLLC
Practice address
18200 E 10 Mile Rd Ste 100
Eastpointe, MI 48021-1368
Phone
(586) 772-0727
NPI assigned
May 16, 2008
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Richard Albert Fici, DONPI 1730292079
Title
Member
Phone
(586) 772-0727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008247 MI Primary

Addresses

Primary practice location

18200 E 10 Mile Rd Ste 100
Eastpointe, MI 48021-1368

Mailing address

18200 E 10 Mile Rd Ste 100
Eastpointe, MI 48021-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000351 MI Part B Supplier - Clinic/Group Practice 6507937810 Receives reassigned benefits from 3 practitioners
Practice locations: Roseville, MI

National Provider Directory

National Provider Directory

Locations

18200 E 10 Mile Rd
Ste 100
Eastpointe, MI 48021
Phone (586) 772-0727

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066
Phone (586) 541-7060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1598922783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 E 10 MILE RD STE 100",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 E 10 MILE RD STE 100",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211368",
            "telephone_number": "586-772-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A FICI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "FICI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "586-772-0727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.