RIKKI REDONA RACELA MD
NPI 1023218096
Psychiatry & Neurology - Neurology in Englewood, NJ

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
25 ROCKWOOD PL, #110, ENGLEWOOD, NJ 07631(201) 894-5805 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rikki Redona Racela Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIKKI REDONA RACELA MD (NPI 1023218096) is an individual neurology provider in Englewood, New Jersey, licensed in New Jersey (25MA09073400) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2007).

NPPES Registry Identity

NPI1023218096
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRIKKI REDONA RACELACredential: MD
Location Address25 ROCKWOOD PL, #110Englewood, NJ 07631-4957
Mailing Address25 Rockwood Pl, #110Englewood, NJ 07631-4957 · (201) 894-5805
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2007
Enumeration DateJuly 18, 2007
Last NPPES UpdateApril 16, 2012
NPI 1023218096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NJ · 25MA09073400 Licensed in NY · 258850
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
25 ROCKWOOD PL, Englewood, NJ 07631

Other Identifiers 2

Other258850NY · Ny State Education Dept. Office Of The Professions
Other25MA09073400NJ · Nj Board Of Medical Examiners

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rikki Redona Racela Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365607306
PECOS Enrollment IDI20120813000581
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
899 services337 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
244 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
236 services169 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
221 services221 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
203 services193 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
96 services94 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology
25 ROCKWOOD PL, SUITE 305
ENGLEWOOD, NJ 07631
Internal Medicine (Cardiovascular Disease)
25 ROCKWOOD PL, SUITE 440
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology (Gynecology)
25 ROCKWOOD PL, SUITE 305
ENGLEWOOD, NJ 07631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rikki Racela's NPI number?

The NPI number for Rikki Racela is 1023218096. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Rikki Racela located?

Rikki Racela practices at 25 Rockwood Pl #110, Englewood, NJ 07631. The listed phone number is (201) 894-5805.

What is Rikki Racela's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rikki Racela enrolled in Medicare?

Yes. Rikki Racela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rikki Racela accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rikki Racela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rikki Racela affiliated with any hospitals?

According to CMS data, Rikki Racela is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Rikki Racela was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.