RICARDO A NIEVES MD NPI 1003909276

NPI Information

NPI: 1003909276
Provider Name: RICARDO A NIEVES, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
1437 RIVERSIDE AVE
FORT COLLINS, CO
ZIP 80524
Phone: (970) 692-5550
Get Directions

Ricardo A Nieves, MD is an interventional pain medicine pain medicine in Fort Collins, CO. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Ricardo A Nieves, MD NPI is 1003909276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1437 RIVERSIDE AVE
FORT COLLINS, CO
ZIP 80524-324
Phone: (970) 692-5550
Fax: (970) 692-5561

The NPI 1003909276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 11/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	2000325	NEW MEXICO	No
2	204R00000X	Electrodiagnostic Medicine		40977	COLORADO	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	40977	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B9615	MEDICAID	NEW MEXICO
2	34141203	MEDICARE PIN	NEW MEXICO
3	G12632	MEDICARE UPIN
4	04732863	MEDICAID	COLORADO
5	CO400001	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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