Individual provider Active NPI

Ciceron L Opida, MD

  • Neurology Physician
  • Altoona, PA
National Provider Identifier
1437200755
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
020833E Issued in PA
Practice address
310 Chestnut Ave
Altoona, PA 16601-4911
Phone
(814) 946-5000
Fax
(814) 944-3523
NPI assigned
Jan 15, 2007
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 020833E PA Primary

Addresses

Primary practice location

310 Chestnut Ave
Altoona, PA 16601-4911

Mailing address

310 Chestnut Ave
Altoona, PA 16601-4911
Phone (814) 946-5000

Other identifiers 1

IdentifierTypeStateIssuer
0007516800008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050331000651 PA Practitioner - NeurologyPractitioner - Geriatric MedicinePractitioner - Pain Management 4981651163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Geriatric Medicine, Pain Management
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Chestnut Ave
Altoona, PA 16601-4911

514 E Pleasant Valley Blvd
Suite 3
Altoona, PA 16602-5574

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020833EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurogeriatric Care PLLC Neurology CurrentSince Nov 10, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

211 Union Ave
Altoona, PA 16602
Phone (814) 946-5000

222 Chestnut Ave
Altoona, PA 16601
Phone (814) 329-3338

310 Chestnut Ave
Altoona, PA 16601
Phone (814) 946-5000

514 E Pleasant Valley Blvd
Ste 3
Altoona, PA 16602
Phone (814) 946-5000

221 Hospital Dr
Ste 1
Tyrone, PA 16686
Phone (814) 684-0200

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 4

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1437200755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-5000",
            "fax_number": "814-944-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-5000",
            "fax_number": "814-944-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPIDA",
        "first_name": "CICERON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "020833E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007516800008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.