NPIMap

Individual provider Active NPI

Christopher Ciccarelli, M.D.

  • Family Medicine Physician
  • Celebration, FL
National Provider Identifier
1215385067
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME138213 Issued in FL
Practice address
65 Riley Rd
Celebration, FL 34747-5419
Phone
(407) 635-3022
Fax
(321) 203-4624
NPI assigned
Jun 1, 2016
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD468572 PA
Family Medicine Physician 207Q00000X ME138213 FL Primary

Addresses

Primary practice location

65 Riley Rd
Celebration, FL 34747-5419

Mailing address

65 Riley Rd
Celebration, FL 34747-5419
Phone (407) 635-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191018000158 PA Practitioner - Family Practice 9537452263 Reassigns benefits to 1 organization
I20200603001036 FL Practitioner - Family Practice 9537452263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

65 Riley Rd
Celebration, FL 34747-5419
Phone (407) 930-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138213FLMDFamily Medicine Physician
MD468572PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

65 Riley Rd
Kissimmee, FL 34747
Phone (407) 635-3022

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

4324 Glades Pike
Somerset, PA 15501
Phone (814) 444-8300

4324 Glades Pike
Ofc
Somerset, PA 15501

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: cciccarelli313940@orlandohealth.medalliesdirect.net
  • Direct secure messaging: cciccarellli38395@direct.conemaugh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1215385067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RILEY RD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475419",
            "telephone_number": "407-635-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RILEY RD",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475419",
            "telephone_number": "407-635-3022",
            "fax_number": "321-203-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468572",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME138213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.