NPIMap

Individual provider Active NPI

Mark Douglas Ricaurte, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1669442091
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-056839R Issued in OH
Practice address
719 W Town St
Columbus, OH 43222-1510
Phone
(614) 228-3036
Fax
(614) 228-5040
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-056839R OH Primary

Addresses

Primary practice location

719 W Town St
Columbus, OH 43222-1510

Mailing address

719 W Town St
Columbus, OH 43222-1510
Phone (614) 228-3036

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mricaurte1155034@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000215 OH Practitioner - Internal Medicine 6901931666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-056839ROHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Cooney MD Mark D Ricaurte MD and Associates Inc Current Accepting new patients
Mount Carmel Healthproviders Inc Internal Medicine CurrentSince Nov 15, 2011 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Nov 15, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

719 W Town St
Columbus, OH 43222
Phone (614) 228-3036

6150 E Broad St
Rm WD227BIN
Columbus, OH 43213

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: mricaurte1155034@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1669442091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221510",
            "telephone_number": "614-228-3036",
            "fax_number": "614-228-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221510",
            "telephone_number": "614-228-3036",
            "fax_number": "614-228-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICAURTE",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-056839R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mricaurte1155034@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "775 W Broad St Ste 200",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432221471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.