Individual provider Active NPI

Ricardo G Joseph, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Madison Heights, MI
National Provider Identifier
1750342135
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301049790 Issued in MI
Practice address
30671 Stephenson Hwy
Madison Heights, MI 48071-1635
Phone
(248) 733-2200
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301049790 MI Primary

Addresses

Primary practice location

30671 Stephenson Hwy
Madison Heights, MI 48071-1635

Mailing address

31323 Mayville St
Livonia, MI 48152-3370

Other identifiers 3

IdentifierTypeStateIssuer
RJ049790OtherMIBC/BS OF MI
104098597MedicaidMI
104636022MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061221000280 MI Practitioner - Emergency Medicine 7911907902 Reassigns benefits to 2 organizations
I20160203001489 OH Practitioner - Emergency Medicine 7911907902 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049790MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Nov 23, 2015 Accepting new patients
Harbor Beach Community Hospital Inc CurrentSince Oct 17, 2009 Accepting new patients
Williams Emergency Group, LLC CurrentSince Apr 17, 2019 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Nov 23, 2015 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC CurrentSince Feb 1, 2018 Accepting new patients
Harbor Beach Community Hospital Inc CurrentSince Oct 17, 2009 Accepting new patients
Hillsdale Emergency Management Company LLC Past Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

230 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3291

210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1750342135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31323 MAYVILLE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30671 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711635",
            "telephone_number": "248-733-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "RICARDO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301049790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "RJ049790",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104098597",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104636022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.