Ricardo P Maribona, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

P02055 Issued in FL

Practice address

4428 Main St
Shallotte, NC 28470-4450

Phone

(910) 755-3338

Fax

(910) 754-3335

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Foot Specialists PLLCGroup PAC ID 8325256787, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlantic Foot Specialists, PLLC

  • Foot Surgery Podiatrist
  • Shallotte, NC
  • NPI 1114105541

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Medicare reassignment NPD
• J. Arthur Dosher Memorial Hospital

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219
  NPD
• Atlantic Sleep Centers, PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Wilmington, NC
  • NPI 1700067972
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• J Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1326589649

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Oak Island, NC
  • NPI 1235405358

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • General Practice Physician
  • Bald Head Island, NC
  • NPI 1376961219

  Hospital

  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  Care Compare affiliation
• J. Arthur Dosher Memorial Hospital

  • Rural Health Clinic/Center
  • Southport, NC
  • NPI 1568887818

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1952387342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-3338",
            "fax_number": "910-754-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-3338",
            "fax_number": "910-754-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIBONA",
        "first_name": "RICARDO",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P02055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4800018180",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1093830001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Ly
• Kaitlyn Ann Madden, PHYSICIAN ASSISTANT
• Michael William Malone II, PA
• Shireen Mann
• Connor Ferris Manning, LCSWA, LCASA
• Angela Lehman Marone, D.D.S
• Janet Rhyne Martin, SPEECH LANGUAGE PATH
• Megan Jo Martin
• Michael Mark Marushack, MD
• Michael Maurer

• Foot & Ankle Surgery Podiatrist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.

Verify at the official NPI Registry.