Individual provider Active NPI

Michael Girard Ciccotti, M.D.

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1245287556
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD040661E Issued in PA
Practice address
833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD040661E PA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA06744600 NJ
Orthopaedic Surgery Physician 207X00000X MD040661E PA Primary

Addresses

Primary practice location

833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Other practice location 1

234 Mall Blvd Ste G30
King Of Prussia, PA 19406-2921
Phone (800) 321-9999

Other practice location 2

825 Old Lancaster Rd Ste 100&200
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999

Other identifiers 3

IdentifierTypeStateIssuer
0116226OtherPAAETNA
0529117000OtherPAIBC
1260028OtherCIGNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100310000588 PA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2961472089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3300 Tillman Dr
FL 2
Bensalem, PA 19020-2071
Phone (215) 642-6900

510 Township Line Rd
FL 1
Blue Bell, PA 19422-2721
Phone (800) 321-9999

825 Old Lancaster Rd
Bryn Mawr, PA 19010-3231
Phone (800) 321-9999

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06744600NJMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Mar 27, 1992 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Orthopaedic Surgery CurrentSince Mar 27, 1992 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Orthopaedic Surgery Past Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

327 Greentree Rd
Sewell, NJ 08080
Phone (856) 286-4224

825 Old Lancaster Rd
Ste 100200
Bryn Mawr, PA 19010

234 Mall Blvd
Ste G30
King of Prussia, PA 19406
Phone (267) 339-3647

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

833 Chestnut St
Ste 1220
Philadelphia, PA 19107
Phone (352) 200-2872

Interoperability endpoints

  • Direct secure messaging: michael.ciccotti@rot.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1245287556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074413",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Mall Blvd Ste G30",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062921",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Old Lancaster Rd Ste 100&200",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103231",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCOTTI",
        "first_name": "MICHAEL",
        "middle_name": "GIRARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD040661E",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA06744600",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD040661E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0116226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0529117000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1260028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.