TATIANA RICKETTS MD
NPI 1972843944
Obstetrics & Gynecology in Bethpage, NY
About Tatiana Ricketts Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATIANA RICKETTS MD (NPI 1972843944) is an individual obstetrics & gynecology provider in Bethpage, New York, licensed in New York (267740) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Tatiana Ricketts 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tatiana Ricketts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 636 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tatiana Ricketts's NPI number?
The NPI number for Tatiana Ricketts is 1972843944. It was assigned to this individual provider in the NPPES registry on February 27, 2013.
Where is Tatiana Ricketts located?
Tatiana Ricketts practices at 1055 Stewart Ave, Bethpage, NY 11714. The listed phone number is (516) 938-0100.
What is Tatiana Ricketts's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Tatiana Ricketts enrolled in Medicare?
Yes. Tatiana Ricketts 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 Tatiana Ricketts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Ricketts reassigns Medicare benefits to 2 organizations: Advantagecare Physicians PC (New York, NY) and North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Tatiana Ricketts'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 Tatiana Ricketts 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.
# Tatiana Ricketts, MD · NPI 1972843944
Obstetrics & Gynecology physician in Bethpage, New York. Individual provider, active in the CMS NPPES registry since February 27, 2013.
## Identity
- **NPI:** 1972843944 (Entity type: Individual)
- **Enumerated:** February 27, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 267740 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 STEWART AVE, Bethpage, NY 11714-3596
- **Phone:** (516) 938-0100 · **Fax:** (516) 938-0120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advantagecare Physicians PC (NPI 1336578772, New York, NY); North Shore Hematology Oncology Associates PC (NPI 1396794574, Port Jefferson Station, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972843944) · Data from the CMS NPPES public registry.