Individual provider Active NPI

David Alejandro Rico Mora, M.D.

  • Anesthesiology Physician
  • Detroit, MI
National Provider Identifier
1760867261
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
104807 Issued in GA
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

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 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
I20200710001494 DC Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 4789990888 Reassigns benefits to 1 organization
I20250724004494 GA Practitioner - Anesthesiology 4789990888 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choa Hospital Based, LLCGroup PAC ID 4688812498, 97 clinicians

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

OrganizationSpecialtyStatusNew patients
Children'S Anesthesia Services, LLC CurrentSince Jul 2, 2025 Accepting new patients
Choa Hospital Based, LLC CurrentSince Jul 2, 2025 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Jun 18, 2020 Accepting new patients
Children'S Hospital CurrentSince Jun 18, 2020 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.

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

Verify at the official NPI Registry.