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DR. KENNETH J RICCI D.O.
NPI 1578570792
Family Medicine - Adult Medicine in Alpharetta, GA

Active since August 01, 2006PECOS Enrolled
10745 WESTSIDE WAY STE 125, ALPHARETTA, GA 30009(770) 410-4610(888) 990-1674 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2021, Jan 31, 2017 (2 updates tracked since 2017).

About Dr. Kenneth J Ricci D.o. NPPES

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

DR. KENNETH J RICCI D.O. (NPI 1578570792) is an individual adult medicine provider in Alpharetta, Georgia, licensed in Georgia (034932) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578570792
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KENNETH J RICCICredential: D.O.
Location Address10745 WESTSIDE WAY STE 125Alpharetta, GA 30009-7635
Mailing Address10745 Westside Way Ste 125Alpharetta, GA 30009-7635 · (770) 410-4610 · Fax (888) 990-1674
Phone(770) 410-4610
Fax(888) 990-1674
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1578570792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · 034932
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10745 WESTSIDE WAY STE 125, Alpharetta, GA 30009
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth J Ricci D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 Kenneth Ricci's NPI number?

The NPI number for Kenneth Ricci is 1578570792. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Kenneth Ricci located?

Kenneth Ricci practices at 10745 Westside Way Ste 125, Alpharetta, GA 30009. The listed phone number is (770) 410-4610.

What is Kenneth Ricci's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kenneth Ricci enrolled in Medicare?

Yes. Kenneth Ricci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Ricci was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.