DR. LISA ANTHEA RICKETTS-HOLCOMB M.D.
NPI 1356495113
Obstetrics & Gynecology in Brooklyn, NY
About Dr. Lisa Anthea Ricketts-holcomb M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA ANTHEA RICKETTS-HOLCOMB M.D. (NPI 1356495113) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (229315) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa Anthea Ricketts-holcomb M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Ricketts-holcomb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11203
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 Lisa Ricketts-holcomb's NPI number?
The NPI number for Lisa Ricketts-holcomb is 1356495113. It was assigned to this individual provider in the NPPES registry on January 22, 2007.
Where is Lisa Ricketts-holcomb located?
Lisa Ricketts-holcomb practices at 451 Clarkson Ave C Bldg, 5th Floor, Room C5211, Brooklyn, NY 11203. The listed phone number is (718) 245-4744.
What is Lisa Ricketts-holcomb's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lisa Ricketts-holcomb enrolled in Medicare?
Yes. Lisa Ricketts-holcomb is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Ricketts-holcomb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ricketts-holcomb reassigns Medicare benefits to Harlem Medical Associates PC (New York, NY). The 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 Lisa Ricketts-holcomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Ricketts-holcomb was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Lisa Anthea Ricketts-Holcomb, M.D. · NPI 1356495113
Obstetrics & Gynecology physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1356495113 (Entity type: Individual)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 229315 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 451 CLARKSON AVE, C BLDG, 5TH FLOOR, ROOM C5211, Brooklyn, NY 11203-2057
- **Phone:** (718) 245-4744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Harlem Medical Associates PC (NPI 1487957692, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2015
- **Other identifiers:** Medicare UPIN I04433
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Source: [NPI Profile](https://npiprofile.com/npi/1356495113) · Data from the CMS NPPES public registry.