Kimberly Sue Ciccero, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36003436 Issued in OH

Practice address

396 Portland Way North
Galion, OH 44833

Phone

(419) 468-3668

Fax

(419) 462-5037

NPI assigned

May 17, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

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 OH

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

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10129/brand/1/csg/1/fhir/r4

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.

• Cornerstone Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Wickliffe, OH
  • NPI 1356823173
  Medicare reassignment NPD Authorized official
• Cornerstone Podiatry LLC

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1356992598
  NPD Authorized official
• Community Foot and Ankle of Mentor Inc.

  • Podiatrist
  • Mentor, OH
  • NPI 1548677917
  NPD (past)
• Dixie a. Dooley, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1992715767
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1083666036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E LIVINGSTON AVE",
            "address_2": "PO BOX 27940",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271923",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 PORTLAND WAY NORTH",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-468-3668",
            "fax_number": "419-462-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCERO",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Chaban, M.D.
• Olivia Ann Cheney
• Devis Chokshi
• Christina Angelee Williams
• Raygan Ciballi
• City of Galion
• City of Galion (Galion City Health Department)
• Heather Cleveland, LPN
• Ernie Ray Clifton II, CNP
• Karen Renee Clifton

• Foot & Ankle Surgery Podiatrist in Galion, OH
• Providers in Galion, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.