RICARDO A ROA (MD) – Otolaryngology Physician, NPI 1700821907

RICARDO A ROA (MD) is a healthcare provider. based in Proctorville, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 17624 (WV). The NPI Number for RICARDO A ROA (MD) is 1700821907

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
RICARDO A ROA (MD)
NPI
1700821907
Phone
(740) 886-9370
Address
96 TOWNSHIP ROAD 369 STE 101
Enumeration Date
19 June 2006
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403566836
Graduation Year
1985 (41 years ago)
PAC ID
5698799757
Group Practice PAC ID
9436061645
Professional Enrollment ID
I20260219001508
Address ID
OH456626932PO1611XSTXX304

Contacts

Secure Messaging
ricardo.roa@somc.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

535 OTOLARYNGOLOGY in OH

Provider Addresses for RICARDO A ROA (MD)

  • 96 TOWNSHIP ROAD 369 STE 101

    PROCTORVILLE, OH 456699133

    Phone: (740) 886-9370

    Fax: (740) 886-9374

    Type: Location

  • 90 JACKSON PIKE

    GALLIPOLIS, OH 45631

    Phone: (740) 886-9370

    Fax: (740) 886-9374

    Type: Mailing

  • 1611 27TH ST

    PORTSMOUTH, OH 456626931

    Phone: (740) 356-6836

    Fax: (740) 356-6806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260211002164IOtolaryngologyWATBD
I20260219001508IOtolaryngologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45669)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061645View full group profile

Reviews

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Frequently asked questions

What is RICARDO A ROA (MD)'s NPI number?
RICARDO A ROA (MD)'s NPI is 1700821907 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to RICARDO A ROA (MD)?
You should see RICARDO A ROA (MD) as active in CMS-hosted NPPES data.
How would a patient describe RICARDO A ROA (MD)'s focus?
For RICARDO A ROA (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RICARDO A ROA (MD)?
Directory geography for RICARDO A ROA (MD) centers on Proctorville, Ohio.
When was this NPI issued?
Enumeration for RICARDO A ROA (MD) is noted as June 19, 2006 where the registry provides it.

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