Individual provider Active NPI

Andrew Michael Ciccarelli, M.D.

  • Diagnostic Radiology Physician
  • Northampton, MA
National Provider Identifier
1407893738
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
228309 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(413) 582-2101
Fax
(413) 582-2949
NPI assigned
Jun 2, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A90543 CA
Diagnostic Radiology Physician 2085R0202X 2023024651 MO
Diagnostic Radiology Physician 2085R0202X MD-51377 IA
Diagnostic Radiology Physician 2085R0202X 228309 MA Primary
Diagnostic Radiology Physician 2085R0202X ME164193 FL
Diagnostic Radiology Physician 2085R0202X 036.164164 IL
Diagnostic Radiology Physician 2085R0202X 15912C WY
Diagnostic Radiology Physician 2085R0202X MC-155 GU

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2000

Other practice location 1

1470 Sugarland Dr Ste 1
Sheridan, WY 82801-5774
Phone (307) 672-2411

Other practice location 2

500 E Market St
Iowa City, IA 52245-2633
Phone (833) 228-6889

Other practice location 3

1401 W 5th St
Sheridan, WY 82801-2799
Phone (307) 672-1000

Other practice location 4

1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340

Other practice location 5

6000 State Farm Dr Ste 150
Rohnert Park, CA 94928-2226
Phone (707) 576-4392

Other practice location 6

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300

Other practice location 7

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IL, TX, SC, CT, IA, WA, WI, NC, MO, CA, NE, FL, NM, WY, SD, MS, NV18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
I20060718000181 MA Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 39 organizations
I20230623001015 IL Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 2 organizations
I20231220001044 TX Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 3 organizations
I20240424004050 SC Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 2 organizations
I20240612001242 CT Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20240909000484 IA Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 3 organizations
I20241002003504 WA Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20241105000224 WI Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 2 organizations
I20250124002630 NC Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 3 organizations
I20251006002067 MO Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20251029000909 CA Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20251124003856 NE Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20260130000858 FL Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20260202002343 NM Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 2 organizations
I20260211001765 WY Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 2 organizations
I20260324004157 SD Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20260428003145 MS Practitioner - Diagnostic Radiology 9436162302 Reassigns benefits to 1 organization
I20260626001484 NV Practitioner - Diagnostic Radiology 9436162302

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Comprehensive Radiology Services PLLCGroup PAC ID 1759364946, 50 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Cheyenne Radiology GroupGroup PAC ID 1951293844, 34 clinicians
Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians
Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians
Radiology Consultants LTDGroup PAC ID 9032195128, 35 clinicians
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians

Practice addresses (Care Compare)

Amherst, MA 01002
Phone (910) 615-4000

101 E Wood St
Spartanburg, SC 29303-3040

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

109 High Point Dr
Amherst, MA 01002-1225
Phone (515) 239-4456

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

129 Valley Rd
Needham, MA 02492-4724
Phone (347) 852-5695

130 Highland Pkwy
Picayune, MS 39466-5574
Phone (601) 358-9481

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

30 Pleasant St
Natick, MA 01760-5632
Phone (308) 398-6400

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

500 Wellesley St
Weston, MA 02493-1014
Phone (870) 910-6654

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

75 Cowls Rd
Amherst, MA 01002-1453
Phone (402) 493-1212

75 Cowls Rd
Apt 116
Amherst, MA 01002-1454
Phone (319) 364-0121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90543CAMDDiagnostic Radiology Physician
ME164193FLMDDiagnostic Radiology Physician
MC-155GUMDDiagnostic Radiology Physician
MD-51377IAMDDiagnostic Radiology Physician
15912CWYMDDiagnostic Radiology Physician

Practice roles (60 of 86)

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 3, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Oct 6, 2025 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cheyenne Radiology Group CurrentSince Feb 1, 2024 Accepting new patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 21, 2024 Accepting new patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Sep 13, 2023 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Oct 31, 2024 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 3, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Mar 1, 2026 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Dec 23, 2025 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 22, 2025 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2026 Accepting new patients
Hegg Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Chickasaw Nation Division of Health CurrentSince Dec 1, 2023 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 4, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 28, 2025 Accepting new patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Jun 19, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 1, 2020 Accepting new patients
Florida Keys Radiology Associates LLP Diagnostic Radiology CurrentSince Oct 31, 2023 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2024 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Sep 11, 2023 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince May 18, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 28, 2025 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Aug 26, 2023 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
State University of Iowa CurrentSince Sep 18, 2024 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Mar 1, 2026 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Oct 5, 2024 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Baptist Physician Network CurrentSince Sep 18, 2025 Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 1, 2024 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
McFarland Clinic PC CurrentSince Sep 15, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Oct 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Dec 28, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Reliant Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations (25 of 109)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 576-4392

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

6415 Lake Worth Rd
Ste 102
Greenacres, FL 33463
Phone (561) 404-5872

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aciccarelli2973717@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 89

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 89

Hospital & facility affiliations 8

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1407893738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2101",
            "fax_number": "413-582-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 Sugarland Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015774",
            "country_code": "US",
            "telephone_number": "307-672-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012799",
            "country_code": "US",
            "telephone_number": "307-672-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368118",
            "country_code": "US",
            "telephone_number": "815-777-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 State Farm Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282226",
            "country_code": "US",
            "telephone_number": "707-576-4392",
            "fax_number": "707-576-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-1300",
            "fax_number": "573-248-5264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-3375",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A90543",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2023024651",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-51377",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "228309",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME164193",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.164164",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "15912C",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.