Active NPI
Louis V. Cicatelli, D.O.
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 298419
- Practice address
- 638 Columbus Ave
New York, NY 10024-1406 - Phone
- (212) 544-1860
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 298419 | NY | Primary |
Addresses
Primary practice location
638 Columbus Ave
New York, NY 10024-1406
Mailing address
638 Columbus Ave
New York, NY 10024-1406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20191205000062 | NY | Practitioner - Family Practice | 2163769621 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
638 Columbus Ave
New York, NY 10024-1406
Phone (212) 828-3250
Mount Sinai School of Medicine
100 Street and Madison Avenue
New York, NY 10029
Phone (212) 241-6500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Multi-Specialty | Past | Accepting new patients |
Locations
638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672
234 E 85th St
New York, NY 10028
Phone (212) 241-6585
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
Multi-Specialty, NY
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
Multi-Specialty, NY
-
- Emergency Medicine Physician
- New York, NY
- NPI 1679083984
Multi-Specialty, NY
-
- Occupational Medicine Clinic/Center
- New York, NY
- NPI 1427493113
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1376906206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 COLUMBUS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241406",
"telephone_number": "212-544-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICATELLI",
"first_name": "LOUIS",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "298419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.