Luis Eduardo Ciconini, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MED-PHYS-LIC-165475 Issued in MT

Practice address

450 Clarkson Avenue
New York City, NY 11203-2098

Phone

(718) 270-1926

NPI assigned

Jul 8, 2022

Reactivated

Jun 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Anesthesiology

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1063145886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE, BOX 1229",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "112032098",
            "telephone_number": "718-270-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "112032098",
            "telephone_number": "718-270-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICONINI",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "deactivation_date": "2023-03-13",
        "reactivation_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-165475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poornima Jaiswal Charpuria, M.D.
• Kuan-Han Chen, M.D.
• Sheng Hsin Chen, M.D.
• Alexander Martin Perun Chepesiuk, M.D.
• Yoonhee Choi, M.D.
• Niculae Ciobanu, MD
• Daniel Cohen, M.D.
• Michael Henry Cohen, MD
• Michele Susan Cohen, LCSW
• James M Collins, PT

• Anesthesiology Physician in New York City, NY
• Providers in New York City, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.