Active NPI
Andrew Michael Ciccarelli, M.D.
- Diagnostic Radiology Physician
- Northampton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 228309
- 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, 2026
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 18
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
- Spartanburg Medical Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| A90543 | CA | MD | Diagnostic Radiology Physician |
| ME164193 | FL | MD | Diagnostic Radiology Physician |
| MC-155 | GU | MD | Diagnostic Radiology Physician |
| MD-51377 | IA | MD | Diagnostic Radiology Physician |
| 15912C | WY | MD | Diagnostic Radiology Physician |
Practice roles (60 of 86)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Radiology Associates of Tallahassee PA | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| East Georgia Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Cheyenne Radiology Group | Current | Accepting new patients | |
| Radiologic Medical Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Avera McKennan | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Gibson Community Hospital Association | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Plains Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Associated Radiologists, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Associates of New Mexico PC | Diagnostic Radiology | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Lincoln Radiology Group P C | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Florida Keys Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Diagnostic Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Physician Network | Current | Accepting new patients | |
| Providence Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Tallahassee Diag Imaging Ctr LTD | Diagnostic Radiology | Current | Accepting new patients |
| McFarland Clinic PC | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Current | 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
- aciccarelli2973717@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Diagnostic Radiology
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
Diagnostic Radiology
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Diagnostic Radiology, MA
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
MA
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
dba Northern Illinois Radiologists
- Diagnostic Radiology Physician
- Freeport, IL
- NPI 1841244753
MA
-
dba Chickasaw Nation Medical Center
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
TX
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
dba Guam Regional Medical City
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.