Active NPI
Teriggi Ciccone, M.D.
- Emergency Medicine Physician
- Winchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 220175
- Practice address
- 41 Highland Ave
Winchester, MA 01890-1446 - Phone
- (781) 756-7273
- Fax
- (781) 756-7274
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 220175 | MA | Primary |
Addresses
Primary practice location
41 Highland Ave
Winchester, MA 01890-1446
Mailing address
41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-7273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078431 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914001174 | MA | Practitioner - Emergency Medicine | 3870560212 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Tufts University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bid-Milton Physician Associates IncHarvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncBeth Israel Deaconess Medical Center IncBeth Israel Lahey Health Specialty Care, Inc.
Practice addresses (Care Compare)
100 Highland St
Milton, MA 02186-3881
Phone (617) 615-4000
100 Walter J Hannon Pkwy
Suite 143
Quincy, MA 02169-1105
Phone (617) 615-4000
330 Brookline Ave
Boston, MA 02215-5400
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
Hospital & facility affiliations
- Winchester Hospital
- Beth Israel Deaconess Hospital - Milton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220175 | MA | MD | Emergency Medicine Physician |
Practice roles
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
910 Washington St
Dedham, MA 02026
Phone (781) 431-1333
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
100 Highland St
Milton, MA 02186
Phone (617) 615-4000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
Interoperability endpoints
- tciccone28684@direct.bilh.masshiway.net
- cicconne.teriggi@elincdirect.org
Organizations & group practices 27
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.
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- NPI 1316987993
Emergency Medicine, MA
-
- Emergency Medical Services (Emergency Medicine) Physician
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- NPI 1952358533
MA
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- Emergency Medicine Physician
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- NPI 1831131473
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- Ambulance
- Boston, MA
- NPI 1518600501
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- Boston, MA
- NPI 1043250616
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- Boston, MA
- NPI 1093756629
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- Boston, MA
- NPI 1346281938
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376554584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 HIGHLAND AVE",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901446",
"telephone_number": "781-756-7273",
"fax_number": "781-756-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 HIGHLAND AVE",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901446",
"telephone_number": "781-756-7273",
"fax_number": "781-756-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCONE",
"first_name": "TERIGGI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "220175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2078431",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.