Individual provider Active NPI

Kevin Boyd Ricci, MD

  • Surgery Physician
  • Skokie, IL
National Provider Identifier
1649665290
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036160841 Issued in IL
Practice address
9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085
Phone
(847) 570-1700
Fax
(224) 251-5470
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036160841 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085

Mailing address

9650 Gross Point Rd Ste 3900
Skokie, IL 60076-5085
Phone (847) 570-1700

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220912001878 IL Practitioner - General Surgery 6800197278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Surgical Associates SCGroup PAC ID 0042358673, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 410
New Lenox, IL 60451-9547
Phone (815) 717-8730

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036160841ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Surgical Associates SC Surgery CurrentSince Jul 1, 2025 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Rush University Medical Group Surgery CurrentSince Nov 13, 2023 Accepting new patients
Rush University Medical Center CurrentSince Nov 13, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 29, 2022 Accepting new patients

Locations

Dept 5932
Carol Stream, IL 60122

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1300 Copperfield Ave
Ste 3060
Joliet, IL 60432
Phone (815) 724-0932

1890 Silver Cross Blvd
Ste 410
New Lenox, IL 60451
Phone (815) 717-8730

1890 Silver Cross Blvd
Ste 520
New Lenox, IL 60451
Phone (815) 320-3060

9650 Gross Point Rd
Ste 3900
Skokie, IL 60076
Phone (224) 251-2374

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDHAA
  • Direct secure messaging: kricci847275@direct.hopkinsmedicine.org

Organizations & group practices 5

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 2

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1649665290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 3900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765085",
            "telephone_number": "847-570-1700",
            "fax_number": "224-251-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 3900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765085",
            "telephone_number": "847-570-1700",
            "fax_number": "224-251-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "KEVIN",
        "middle_name": "BOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036160841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.