1. Home
  2. Directory
  3. Rhode Island
  4. East Providence
  5. Internal Medicine
  6. NPI Profile

DR. RICARDO RAFAEL CORREA MARQUEZ M.D
NPI 1053623538
Internal Medicine - Endocrinology, Diabetes & Metabolism in East Providence, RI

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
900 WARREN AVENUE, SUITE 300, EAST PROVIDENCE, RI 02914(786) 246-5719 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ricardo Rafael Correa Marquez M.d NPPES

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

DR. RICARDO RAFAEL CORREA MARQUEZ M.D (NPI 1053623538) is an individual endocrinology, diabetes & metabolism provider in East Providence, Rhode Island, licensed in Maryland (D78143) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053623538
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. RICARDO RAFAEL CORREA MARQUEZCredential: M.D
Location Address900 WARREN AVENUE, SUITE 300East Providence, RI 02914
Mailing Address1 Evie DrWarren, RI 02885 · (786) 246-5719
Phone(786) 246-5719
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 13, 2010
Last NPPES UpdateMarch 16, 2016
✔ NPI 1053623538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MD · D78143✔ Licensed in RI · MD15160
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
900 WARREN AVENUE, East Providence, RI 02914
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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

Dr. Ricardo Rafael Correa Marquez M.d 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 ID4688983760
PECOS Enrollment IDI20220801001885
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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services19 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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 Ricardo Correa Marquez's NPI number?

The NPI number for Ricardo Correa Marquez is 1053623538. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Ricardo Correa Marquez located?

Ricardo Correa Marquez practices at 900 Warren Avenue Suite 300, East Providence, RI 02914. The listed phone number is (786) 246-5719.

What is Ricardo Correa Marquez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ricardo Correa Marquez enrolled in Medicare?

Yes. Ricardo Correa Marquez 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 Ricardo Correa Marquez accept?

Health plans from Oscar Insurance Corporation of Ohio list Ricardo Correa Marquez 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 Ricardo Correa Marquez affiliated with any hospitals?

According to CMS data, Ricardo Correa Marquez is affiliated with Akron General Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Ricardo Correa Marquez was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.