Active NPI
Kevin Boyd Ricci, MD
- Surgery Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036160841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036160841 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Surgical Associates SC | Surgery | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Rush University Medical Group | Surgery | Current | Accepting new patients |
| Rush University Medical Center | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | 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
- https://fhir4.healow.com/fhir/r4/DHDHAA
- 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.
-
- Surgery Physician
- New Lenox, IL
- NPI 1154550226
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.