Individual provider Active NPI

Richard A Fici, DO

  • Family Medicine Physician
  • Roseville, MI
National Provider Identifier
1730292079
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008247 Issued in MI
Practice address
20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501
Phone
(586) 772-0727
Fax
(586) 772-0640
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101008247 MI Primary

Addresses

Primary practice location

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501

Mailing address

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066-6501
Phone (586) 772-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080613000345 MI Practitioner - Family Practice 1153492467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20905 E 12 Mile Rd
Suite 300
Roseville, MI 48066-6501
Phone (586) 772-0727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a Fici DO PLLC Family Medicine CurrentSince Jul 1, 1983 Accepting new patients

Locations

18200 E 10 Mile Rd
Ste 100
Eastpointe, MI 48021
Phone (586) 772-0727

20905 E 12 Mile Rd
Ste 300
Roseville, MI 48066
Phone (586) 772-0727

Interoperability endpoints

  • Direct secure messaging: rfici241016@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1730292079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-772-0727",
            "fax_number": "586-772-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 E 12 MILE RD",
            "address_2": "STE 300",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666501",
            "telephone_number": "586-772-0727",
            "fax_number": "586-772-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICI",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.