Kristina Ciccotelli, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD049754L Issued in PA

Practice address

821 Huntingdon Pike
Huntingdon Valley, PA 19006

Phone

(215) 938-3413

Fax

(215) 938-3122

NPI assigned

Oct 14, 2006

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 PA

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

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huntingdon Valley Anesthesia AssociatesGroup PAC ID 6406742642, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Huntingdon Valley Anesthesia Associates

  • Specialist
  • Meadowbrook, PA
  • NPI 1710933114
  Medicare reassignment Care Compare group NPD
• Aria Health Physician Services

  dba Geoffrey W. Temple Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD (past)
• James F Noone MD PC

  • Specialist
  • Meadowbrook, PA
  • NPI 1699721001
  NPD (past)
• Anesthesia Advantage of Delaware, P.a.

  • Anesthesiology Physician
  • Lewes, DE
  • NPI 1740370147
  NPD (past)

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

• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1184714586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 313",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468007",
            "telephone_number": "215-938-3413",
            "fax_number": "215-938-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-938-3413",
            "fax_number": "215-938-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCOTELLI",
        "first_name": "KRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD049754L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Lynn Chiger, M.D.
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• Frank Chin, MD
• Michel Choder, LPC
• Cameron Ciminera
• Citizensdx PA LLC
• Cito EMS,LLC
• Robert A Claypoole, D.M.D.
• Mary Coakley, PH.D.

• Anesthesiology Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.