Timothy J Riccardi, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

179562 Issued in NY

Practice address

4900 Broad Rd
Ste 3P
Syracuse, NY 13215-2265

Phone

(315) 492-5910

Fax

(315) 492-5950

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

University of Pittsburgh School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Familycare Medical Group PC 110 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: triccardi@fcmg.medentdirect.com
• Direct secure messaging: triccardi27998@direct.upstate.edu

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.

• Familycare Medical Group, PC

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1447212063

  NY

  Medicare reassignment Care Compare group NPD
• Ophthalmological Associates of Syracuse MD,PC

  • Specialist
  • Syracuse, NY
  • NPI 1912900366

  NY

  Medicare reassignment NPD
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051

  NY, Ophthalmology

  Medicare reassignment NPD
• Cny Ophthalmology PLLC

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1942277363

  Ophthalmology

  NPD (past) Authorized official
• Aesthetic Plastic Surgery of Syracuse PLLC

  • Plastic and Reconstructive Surgery Physician
  • Camillus, NY
  • NPI 1609865054
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1982609780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-446-3904",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "address_2": "STE 3P",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5910",
            "fax_number": "315-492-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "179562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Nichole Rhoades, RN
• Connie S Rhodes, ANP
• Samantha Ribeiro, MD
• Elizabeth Riccardi, MD
• Kunigunde Paus Riccardi, R.N.
• Michael A Riccione, M.D.
• Megan Kim Riccobono, NP
• Donald Rice, CASAC
• Hester Shannon Rice, LMSW
• Iellan Scott Rice, RN

• All providers in Syracuse, NY
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.