Ricardo Andre Declet-Bauzo, MD
NPI 1588153647ActiveIndividual· Radiology, Diagnostic Radiology· El Segundo, CA
Radiology, Diagnostic Radiology (MD) with Mori Bean and Brooks Inc and 6 other groups, practicing in El Segundo, California. Medicare paid $1,624 for services to 25 patients in 2024. Lists Ascension St Vincent Evansville and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1588153647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 4, 2018 |
| Last updated in NPPES | Apr 10, 2026 |
| Certified by provider | Apr 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 166292 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 01097300A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 27 across 18 procedure codes |
| Paid by Medicare | $1,624 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Mori Bean and Brooks IncWilliamsburg, VA · 977 clinicians
- Reid Physician Associates IncRichmond, IN · 432 clinicians
- Spectrum Healthcare Partners PAPortland, ME · 308 clinicians
- Ella E M Brown Charitable CircleFort Wayne, IN · 170 clinicians
- Henry County Memorial HospitalNew Castle, IN · 158 clinicians
- Summit Radiology P CFort Wayne, IN · 102 clinicians
- Tower Imaging LLCTampa, FL · 96 clinicians
Hospital affiliations
- Ascension St Vincent EvansvilleEvansville, IN
- Henry County Memorial HospitalNew Castle, IN
- Lutheran Hospital of IndianaFort Wayne, IN
- Mainehealth Maine Medical CenterPortland, ME
- Memorial HospitalLogansport, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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