Individual provider Active NPI

Richard Lee Micco, DPM

  • Podiatrist
  • New Castle, PA
National Provider Identifier
1649238288
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002758L Issued in PA
Practice address
1612 West State St
New Castle, PA 16101
Phone
(724) 658-8589
Fax
(724) 658-8978
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002758L PA Primary
Podiatrist 213E00000X 36002247M OH

Addresses

Primary practice location

1612 West State St
New Castle, PA 16101

Mailing address

1612 West State St
New Castle, PA 16101
Phone (724) 658-8589

Other identifiers 1

IdentifierTypeStateIssuer
0984073MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000661 PA Practitioner - Podiatry 6901919083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3132 Wilmington Rd
Suite 2
New Castle, PA 16105-1180
Phone (724) 658-8589

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue91
Removal of nail tissue225
Removal or shaving of skin growth54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002247MOHMDPodiatrist
SC002758LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L. Micco, D.P.M.P.C. CurrentSince Dec 27, 1984 Accepting new patients
James F McGuckin MD of PA PC Past Accepting new patients

Locations

1612 W State St
New Castle, PA 16101
Phone (724) 654-2483

3132 Wilmington Rd
Ste 2
New Castle, PA 16105
Phone (724) 658-8589

Interoperability endpoints

  • Direct secure messaging: richard.micco@upmcdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1649238288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 WEST STATE ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-8589",
            "fax_number": "724-658-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 WEST STATE ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-658-8589",
            "fax_number": "724-658-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICCO",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002758L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002247M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984073",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.