NPIMap

Individual provider Active NPI

Stephanie L Ciccarelli, MD

  • Internal Medicine Physician
  • West Chester, PA
National Provider Identifier
1497768469
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD062754L Issued in PA
Practice address
710 E. Marshall St
West Chester, PA 19380
Phone
(610) 431-5262
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD062754L PA Primary

Addresses

Primary practice location

710 E. Marshall St
West Chester, PA 19380

Mailing address

710 E. Marshall St
West Chester, PA 19380
Phone (610) 431-5262

Other names 1

  • Hye-Jin L Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070822000162 PA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 1557453677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Care Associates of the University of Pennsylvania Health. 591 clinicians

Practice addresses (Care Compare)

701 E Marshall St
West Chester, PA 19380-4412

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062754LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Chester County Hospital CurrentSince Sep 1, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Mount Nittany Medical Center Health Services Inc Internal Medicine CurrentSince Sep 22, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 1, 2014 Accepting new patients
Southern Chester County Emergency Room Associates PC Past Accepting new patients
Delaware Diagnostic Services, Inc. PastSince May 1, 2004 Accepting new patients
Regional Medical Group LLC PastSince Mar 1, 2013 Accepting new patients
Doctors for Emergency Service Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 10

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.

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1497768469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E. MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E. MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD062754L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYE-JIN",
            "last_name": "LEE",
            "middle_name": "L",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.