Active NPI
James D Ricci
- Internal Medicine Physician
- Bethalto, IL
National Provider Identifier
1710994181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036071994
- Practice address
- 524 Whispering Oaks Drive
Bethalto, IL 62010 - Phone
- (618) 371-1357
- Fax
- (618) 474-2937
- NPI assigned
- Aug 1, 2006
- Last updated
- May 22, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036071994 | IL | Primary |
Addresses
Primary practice location
524 Whispering Oaks Drive
Bethalto, IL 62010
Mailing address
524 Whispering Oaks Drive
Bethalto, IL 62010
Phone (618) 377-1357
Other names 1
- James Dale Ricci
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1710994181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 WHISPERING OAKS DRIVE",
"city": "BETHALTO",
"state": "IL",
"postal_code": "62010",
"telephone_number": "618-377-1357",
"fax_number": "618-474-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 WHISPERING OAKS DRIVE",
"city": "BETHALTO",
"state": "IL",
"postal_code": "62010",
"telephone_number": "618-371-1357",
"fax_number": "618-474-2937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCI",
"first_name": "JAMES",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036071994",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Memorial Dr",
"address_2": "Suite 220",
"city": "Alton",
"state": "IL",
"country_code": "US",
"postal_code": "620026723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAMES",
"last_name": "RICCI",
"middle_name": "DALE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bethalto, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.