Individual provider Active NPI

Maria Ciciarelli, M.D.

  • Obstetrics & Gynecology Physician
  • E Syracuse, NY
National Provider Identifier
1386881571
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
255546 Issued in NY
Practice address
5000 Brittonfield Parkway
Suite A128
E Syracuse, NY 13057-9208
Phone
(315) 446-4400
Fax
(315) 446-4201
NPI assigned
Jan 10, 2009
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 255546 NY Primary

Addresses

Primary practice location

5000 Brittonfield Parkway
Suite A128
E Syracuse, NY 13057-9208

Mailing address

5000 Brittonfield Parkway
Suite A128
E Syracuse, NY 13057-9208
Phone (315) 446-4400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000630 NY Practitioner - Obstetrics/Gynecology 5294920625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Women's Healthcare, P.C.Group PAC ID 2567431497, 9 clinicians

Practice addresses (Care Compare)

5000 Brittonfield Pkwy
Suite A128
East Syracuse, NY 13057-9228
Phone (315) 446-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255546NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Women's Healthcare, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Cny Women's Healthcare PC Obstetrics & Gynecology Current Accepting new patients
Crouse Health Hospital, Inc. Past Accepting new patients

Locations

5000 Brittonfield Pkwy
Ste A128
East Syracuse, NY 13057
Phone (315) 446-4400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crouse HospitalSyracuse, NY, CCN 330203 Hospital Corporate Director Oct 14, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 1

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": "1231545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1386881571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PARKWAY",
            "address_2": "SUITE A128",
            "city": "E SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-446-4400",
            "fax_number": "315-446-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PARKWAY",
            "address_2": "SUITE A128",
            "city": "E SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-446-4400",
            "fax_number": "315-446-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICIARELLI",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-10",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Syracuse, NY

Sources for this page

Verify at the official NPI Registry.