Laura A Ricciardi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101228406 Issued in VA

Practice address

3025 Berkmar Dr
Suite 1
Charlottesville, VA 22901-1456

Phone

(434) 973-1831

Fax

(434) 973-1919

NPI assigned

Jun 1, 2005

Last updated

Nov 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1689676967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR",
            "address_2": "SUITE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BERKMAR DR",
            "address_2": "SUITE 1",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011456",
            "telephone_number": "434-973-1831",
            "fax_number": "434-973-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101228406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "181906",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "317302",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010261864",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wells Rhodes
• Amanda Ribeiro Coutinho Monjardim
• Hallie Ribelin, M.ED, CCC-SLP
• Gianna Ricci, PA
• Daniel Randolph Ricciardi, MD
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Charlottesville)
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Crozet)
• Riccobene & Associates Ccii, DDS, PC (Commonwealth Specialty - Charlottesville)
• Cara Evelyn Rice, MD
• Terran Michael Hasbrouck Rice, PHARM.D.

• Internal Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.