Active NPI
Erica Ann Di Cicco, D.O.
- Internal Medicine Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L1786119
- Practice address
- 950 University Dr
Pontiac, MI 48342-1865 - Phone
- (248) 334-0947
- Fax
- (248) 334-4503
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L1786119 | MI | Primary |
Addresses
Primary practice location
950 University Dr
Pontiac, MI 48342-1865
Mailing address
950 University Dr
Pontiac, MI 48342-1865
Phone (248) 334-0947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
Hospital & facility affiliations
- McLaren Port Huron
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1786119 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| McLaren Lapeer Region | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| McLaren Lapeer Region | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Telemed Consultants PLLC | Internal Medicine | Past | Accepting new patients |
| McLaren Oakland | Internal Medicine | Past | Accepting new patients |
| McLaren Oakland | Past | Accepting new patients |
Locations
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Certified Registered Nurse Anesthetist
- Lapeer, MI
- NPI 1124151147
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
- Multi-Specialty Clinic/Center
- Lapeer, MI
- NPI 1740313667
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
- Hospitalist Physician
- Oxford, MS
- NPI 1659779767
Internal Medicine
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1104139450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 UNIVERSITY DR",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421865",
"telephone_number": "248-334-0947",
"fax_number": "248-334-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 UNIVERSITY DR",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421865",
"telephone_number": "248-334-0947",
"fax_number": "248-334-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI CICCO",
"first_name": "ERICA",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "L1786119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.