Active NPI
David Alejandro Rico Mora, M.D.
- Anesthesiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 104807
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-8445
- Fax
- (313) 916-9434
- NPI assigned
- Jul 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301108009 | MI | |
| Anesthesiology Physician | 207L00000X | 104807 | GA | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1118 N Campbell Rd Apt 221
Royal Oak, MI 48067-1541
Phone (786) 556-2065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesia Services, LLC | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Choa Multispecialty, LLC | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
2620 Satellite Blvd
Duluth, GA 30096
Phone (404) 785-8000
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatric Anesthesiology Physician
- Brookhaven, GA
- NPI 1437203098
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1760867261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 N CAMPBELL RD APT 221",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671541",
"telephone_number": "786-556-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-8445",
"fax_number": "313-916-9434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO MORA",
"first_name": "DAVID",
"middle_name": "ALEJANDRO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-25",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301108009",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "104807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.