Individual provider Active NPI

Jessica Lynn Riccio, MD

  • Otolaryngology Physician
  • Albany, NY
National Provider Identifier
1750649760
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
288469 Issued in NY
Practice address
123 Everett Rd
Albany, NY 12205-1407
Phone
(518) 701-2000
Fax
(518) 701-2020
NPI assigned
Apr 26, 2012
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 288469 NY Primary
Otolaryngic Allergy Physician 207YX0602X 288469 NY

Addresses

Primary practice location

123 Everett Rd
Albany, NY 12205-1407

Mailing address

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000

Other names 1

  • Dr. Jessica Lynn Winkler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170630000259 NY Practitioner - Otolaryngology 1759650096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albany Medical College of Union University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany ENT and Allergy Services PCGroup PAC ID 3678551736, 46 clinicians

Practice addresses (Care Compare)

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
84.34
Promoting interoperability
99
Improvement activities
40
Cost
75.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288469NYMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany ENT & Allergy Services PC Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients

Locations

123 Everett Rd
Albany, NY 12205
Phone (518) 701-2000

1785 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 701-2075

Interoperability endpoints

  • Direct secure messaging: jessica.riccio.p1@direct.aent.nextgenshare.com
  • Direct secure messaging: jriccio788086@direct.trinity-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1750649760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2000",
            "fax_number": "518-701-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2000",
            "fax_number": "518-701-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "288469",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NY",
            "license": "288469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WINKLER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.