Angela Consuelo Ricaurte-Valle, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301108653 Issued in MI

Practice address

500 Kirts Blvd Ste 200
Troy, MI 48084-4140

Phone

(800) 759-7291

NPI assigned

Jul 30, 2012

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 names 1

• Angela Consuelo Ricaurte Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Iah of Michigan, PLLC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1578969705
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Troy, MI
  • NPI 1871666784
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1750637583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844140",
            "telephone_number": "800-759-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICAURTE-VALLE",
        "first_name": "ANGELA",
        "middle_name": "CONSUELO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RICAURTE",
            "middle_name": "CONSUELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaylie Lauren Reynolds
• Phyllis Reynolds
• RHB Laboratories Inc
• Keely Erin Rhiannon, LLMSW
• Sara Sarwar Riaz, M.D
• Katherine Ann Rice, MSN, AGACNP-BC
• Natasha Rice
• Rebecca J Rice, LLPC, CRC, SCL
• Rich Blessings LLC
• Richard Easton MD PC

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.