NPIMap

Individual provider Active NPI

Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1407211873
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015032782 Issued in MO
Practice address
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone
(573) 234-1800
NPI assigned
Dec 29, 2015
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015032782 MO Primary

Addresses

Primary practice location

2101 Corona Rd Ste 102
Columbia, MO 65203-2582

Mailing address

2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Other practice location 1

5861 NW 72nd St
Kansas City, MO 64151-1483
Phone (816) 741-2286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221000266 MO Practitioner - Internal Medicine 2860782497 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

1101 W Clay Rd
Good Shepard Care Center
Versailles, MO 65084-1177
Phone (737) 226-6700

1500 W Foxwood Dr
Brookdale Foxwood Springs
Raymore, MO 64083-9347
Phone (816) 331-3111

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

5002 Gene Field Rd
Saint Joseph, MO 64506-2056
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015032782MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Barnes Health LLC Single Specialty CurrentSince Jul 16, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC Single Specialty CurrentSince Oct 25, 2024 Accepting new patients
Barnes Health Care Management Group LLC Single Specialty CurrentSince Jun 6, 2018 Accepting new patients
Aspire Senior Living Platte City, LLC Past Accepting new patients
Aspire Senior Living Excelsior Springs, LLC Past Accepting new patients
Kansas City Sports Medicine Inc Single Specialty PastSince Oct 11, 2012 Accepting new patients
Urgent Care Express LLC Single Specialty PastSince Aug 1, 2025 Accepting new patients
Laverna Manor Health & Rehabilitation LLC Past Accepting new patients
Glen Hendren Drive Healthcare LLC Past Accepting new patients
The Baptist Home Past Accepting new patients
Riverside Nursing and Rehabilitation Center LLC Past Accepting new patients
Nathan Richard Health Care Center, LLC Past Accepting new patients
Primary Care North Kansas City LLC Single Specialty PastSince Oct 20, 2012 Accepting new patients
Aspire Senior Living Oak Grove, LLC Past Accepting new patients
Bridgewood Health Care Center, L.L.C. Past Accepting new patients
Big Spring Nursing and Rehab LLC Past Accepting new patients
Gregory Ridge Health Care Center, L.L.C. Past Accepting new patients
The Baptist Home Past Accepting new patients
Parkdale Manor Health & Rehabilitation LLC Past Accepting new patients
Raymore Senior Care LLC Past Accepting new patients

Locations

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

400 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 347-2109

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5793/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Warrensburg Manor Care CenterWarrensburg, MO, CCN 265669 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Laverna Manor Health & RehabilitationSavannah, MO, CCN 265787 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Holden Manor Health & RehabilitationHolden, MO, CCN 265739 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 3, 2024
Jun 3, 2024
Abode Health and Wellness CenterIndependence, MO, CCN 265456 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025

Owned or controlled facilities with NPI records 4

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

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1407211873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5861 NW 72nd St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641511483",
            "country_code": "US",
            "telephone_number": "816-741-2286",
            "fax_number": "816-587-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICERO",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015032782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.