Individual provider Active NPI

Anthony T Ricci, D.C.

  • Sports Physician Chiropractor
  • Annapolis, MD
National Provider Identifier
1801906334
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1542 PT Issued in MD
Practice address
1610 West St
Suite 110
Annapolis, MD 21401-4055
Phone
(410) 263-6331
Fax
(410) 280-9886
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1542 PT MD Primary

Addresses

Primary practice location

1610 West St
Suite 110
Annapolis, MD 21401-4055

Mailing address

1610 West St
Suite 110
Annapolis, MD 21401-4055
Phone (410) 263-6331

Other identifiers 8

IdentifierTypeStateIssuer
292468OtherMDALLIANCE PROIDER ID
6074299OtherMDCIGNA PROVIDER ID
LP84ANOtherMDCAREFIRST BCBS PROV. ID
086650000OtherMDPREF HEALTH NET PROV. ID
1623373OtherMDUHC PROVIDER ID
293065600OtherMDUS DEPT LABOR PROV. ID
5856209OtherMDAETNA PROVIDER ID
R6170002OtherMDFEDERAL BCBS PROV. ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100318000510 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6204961097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Ricci P CGroup PAC ID 8426183369, 2 clinicians

Practice addresses (Care Compare)

1610 W St
Suite 110
Annapolis, MD 21401-4053
Phone (410) 263-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1542 PTMDMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Ricci P C Sports Physician CurrentSince Apr 15, 2000 Accepting new patients

Locations

1610 West St
Ste 110
Annapolis, MD 21401
Phone (410) 263-6331

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1801906334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-263-6331",
            "fax_number": "410-280-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WEST ST",
            "address_2": "SUITE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014055",
            "telephone_number": "410-263-6331",
            "fax_number": "410-280-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "1542 PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PROIDER ID",
            "identifier": "292468",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "6074299",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS PROV. ID",
            "identifier": "LP84AN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF HEALTH NET PROV. ID",
            "identifier": "086650000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID",
            "identifier": "1623373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR PROV. ID",
            "identifier": "293065600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5856209",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS PROV. ID",
            "identifier": "R6170002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.