Robert Ciccarelli, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1323 Issued in AZ

Practice address

4425 E Cotton Center Blvd
Allred Cotton Center, Building 4
Phoenix, AZ 85040-8854

Phone

(602) 452-9801

Fax

(602) 452-9852

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winslow Indian Health Care Center IncGroup PAC ID 4284548991, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Winslow, AZ
  • NPI 1184729493

  TX

  Medicare reassignment Care Compare group
• Winslow Indian Health Care Center, Inc

  • Land Ambulance
  • Winslow, AZ
  • NPI 1477827368
  NPD
• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Leupp, AZ
  • NPI 1760652580
  NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847

  Physician Assistant

  NPD (past)
• Exigence Medical of Jamestown PLLC

  • Emergency Medicine Physician
  • Jamestown, NY
  • NPI 1679844799
  NPD (past)
• St Johns Emergency Medical Services PC

  • Emergency Medicine Physician
  • Far Rockaway, NY
  • NPI 1669635231
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1104875939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 E COTTON CENTER BLVD",
            "address_2": "ALLRED COTTON CENTER, BUILDING 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408854",
            "telephone_number": "602-452-9801",
            "fax_number": "602-452-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E COTTON CENTER BLVD",
            "address_2": "ALLRED COTTON CENTER, BUILDING 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408854",
            "telephone_number": "602-452-9801",
            "fax_number": "602-452-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "ROBERT",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102559",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard G Ciaglia, MA LISAL
• Shayla Ciampi
• Wendy S Cianci, PT
• Frank E Cibulka, M.D.
• Dixie F. Ciccarelli, MACE, MAPC, LPC, ATR
• Ryan Joseph Cicero, DMD
• Sandra Cichon
• Matthew Frank Cichowski, DDS
• Valeria Ciciliano, DO
• Nicole Cieslak, FNTP, CPT

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.