Individual provider Active NPI

Erica Ann Di Cicco, D.O.

  • Internal Medicine Physician
  • Pontiac, MI
National Provider Identifier
1104139450
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1786119 Issued in MI
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

Updated by the provider on Jul 15, 2010

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 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, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131009002101 MI Practitioner - Internal MedicinePractitioner - Hospitalist 2567696339 Reassigns benefits to 4 organizations
I20151214001202 MS Practitioner - Internal Medicine 2567696339 Reassigns benefits to 1 organization

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
Sound Inpatient Physicians-Michigan PLLCGroup PAC ID 5395896849, 168 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1786119MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
McLaren Hospital Group CurrentSince Dec 23, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Aug 26, 2017 Accepting new patients
McLaren Lapeer Region CurrentSince Dec 12, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Aug 26, 2017 Accepting new patients
McLaren Lapeer Region Internal Medicine CurrentSince Dec 12, 2025 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Nov 1, 2015 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.

View all 14

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.