Micheal Peter Siciliano, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NA Issued in PA

Practice address

39 Rittenhouse PL
Ardmore, PA 19003-2209

Phone

(610) 642-8831

NPI assigned

Jun 6, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pace Foot and Ankle Centers PLLCGroup PAC ID 8527399591, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Paoli Hospital Hospital, Paoli, PA, CCN 390153

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pace Foot and Ankle Centers PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
  • NPI 1952957482
  Medicare reassignment Care Compare group NPD
• Pace Foot and Ankle Centers PLLC

  • Durable Medical Equipment & Medical Supplies
  • Northampton, PA
  • NPI 1770186132

  Podiatrist

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Paoli, PA
  • NPI 1215042114
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1013646025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELM AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635741",
            "telephone_number": "215-681-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032209",
            "telephone_number": "610-642-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "797 E Lancaster Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193353315",
            "country_code": "US",
            "telephone_number": "610-330-9740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Russell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011200",
            "country_code": "US",
            "telephone_number": "610-642-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "MICHEAL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Behavioral Healthcare Group Inc
• Senior Behavioral Healthcare Group, Inc
• Carol Poorman Shih
• Christina Nicole Shoshilos, MS
• Joanne Siciliano
• Mary Sidawi, D.M.D
• Emily Siege, M.D.
• Lisa Oldstein Silk, LSW
• Ryan Silverman, PT, DPT
• Jamie Silvers

• Podiatrist in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.