Individual provider Active NPI

Erica K. Cichowski, M.D.

  • Internal Medicine Physician
  • Council Bluffs, IA
National Provider Identifier
1033224290
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22017 Issued in NE
Practice address
1702 N 16TH St
Council Bluffs, IA 51501-0121
Phone
(712) 256-7223
Fax
(712) 256-7669
NPI assigned
Aug 20, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22017 NE Primary

Addresses

Primary practice location

1702 N 16TH St
Council Bluffs, IA 51501-0121

Mailing address

1702 N 16TH St
Council Bluffs, IA 51501-0121
Phone (712) 256-7223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917002496 NE Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5799966982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients
Pace Iowa Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1033224290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N 16TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010121",
            "telephone_number": "712-256-7223",
            "fax_number": "712-256-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N 16TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010121",
            "telephone_number": "712-256-7223",
            "fax_number": "712-256-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOWSKI",
        "first_name": "ERICA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "22017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.