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RITCHE MIKL V LERO M.D.
NPI 1235309014
Internal Medicine in Dorchester, MA

Active since March 07, 2008PECOS EnrolledAccepts Medicare Assignment
CARNEY HOSPITAL, 2100 DORCHESTER AVENUE, DORCHESTER, MA 02124(617) 296-4000 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ritche Mikl V Lero M.d. NPPES

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

RITCHE MIKL V LERO M.D. (NPI 1235309014) is an individual internal medicine provider in Dorchester, Massachusetts, licensed in Massachusetts (234563) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235309014
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRITCHE MIKL V LEROCredential: M.D.
Location AddressCARNEY HOSPITAL, 2100 DORCHESTER AVENUEDorchester, MA 02124
Mailing Address2165 Dorchester Ave, Apt. C-8Dorchester Center, MA 02124-5640 · (617) 296-4000
Phone(617) 296-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 7, 2008
✔ NPI 1235309014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 234563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
CARNEY HOSPITAL, Dorchester, MA 02124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ritche Mikl V Lero 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 ID6507925674
PECOS Enrollment IDI20081104000346
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ritche Mikl Lero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Physicians Of Massachusetts PC
19 mi
Hospitalist
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 156 clinicians in this Medicare group
NPI 1376145680 (508) 383-1000
Marlborough Hospitalist Group, PLLC
27 mi
Hospitalist
157 UNION ST
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group
NPI 1316639321 (508) 481-5000
Reliant Medical Group, Inc
39 mi
Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
NPI 1720017528 (508) 852-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
268 services260 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 Ritche Mikl Lero's NPI number?

The NPI number for Ritche Mikl Lero is 1235309014. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Where is Ritche Mikl Lero located?

Ritche Mikl Lero practices at Carney Hospital 2100 Dorchester Avenue, Dorchester, MA 02124. The listed phone number is (617) 296-4000.

What is Ritche Mikl Lero's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ritche Mikl Lero enrolled in Medicare?

Yes. Ritche Mikl Lero 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.

Which organizations bill Medicare for Ritche Mikl Lero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ritche Mikl Lero reassigns Medicare benefits to 3 organizations: Hospitalist Physicians Of Massachusetts PC (Framingham, MA), Marlborough Hospitalist Group, PLLC (Marlborough, MA) and Reliant Medical Group, Inc (Worcester, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ritche Mikl Lero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ritche Mikl Lero accept?

Health plans from Anthem Blue Cross and Blue Shield list Ritche Mikl Lero 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 Ritche Mikl Lero affiliated with any hospitals?

According to CMS data, Ritche Mikl Lero is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Ritche Mikl Lero was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.