Active NPI
Lyam Ciccone, MD
- Gastroenterology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 171344
- Practice address
- 204 E 19TH St
Panama City, FL 32405-4707 - Phone
- (850) 763-5409
- NPI assigned
- May 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | 171344 | FL | Primary |
Addresses
Primary practice location
204 E 19TH St
Panama City, FL 32405-4707
Mailing address
20 Exchange PL Apt 615
New York, NY 10005-3280
Phone (862) 251-0451
Other practice location 1
760 Broadway
Brooklyn, NY 11206-5317
Phone (718) 963-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
204 E 19TH St
Panama City, FL 32405-4707
Phone (850) 763-5409
Hospital & facility affiliations
- HCA Florida Gulf Coast Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 38 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171344 | FL | MD | Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Diseases Center of Florida, PLLC | Current | Accepting new patients | |
| Digestive Diseases Center of Florida, PLLC | Past | Accepting new patients |
Locations
204 E 19th St
Panama City, FL 32405
Phone (850) 763-5409
Interoperability endpoints
- lyam.ciccone.p1@direct.ddc.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Panama City, FL
- NPI 1386968121
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": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1467018002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EXCHANGE PL APT 615",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100053280",
"telephone_number": "862-251-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E 19TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054707",
"telephone_number": "850-763-5409"
}
],
"practiceLocations": [
{
"address_1": "760 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065317",
"country_code": "US",
"telephone_number": "718-963-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICCONE",
"first_name": "LYAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "171344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.