Active NPI
Richard Lee Micco, DPM
- Podiatrist
- New Castle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002758L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0984073 | Medicaid | PA |
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
Enrollment records 1
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 91 |
| Removal of nail tissue | 225 |
| Removal or shaving of skin growth | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002247M | OH | MD | Podiatrist |
| SC002758L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L. Micco, D.P.M.P.C. | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- New Castle, PA
- NPI 1134302946
-
- Vascular & Interventional Radiology Physician
- Pittsburgh, PA
- NPI 1710289558
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.