NPIMap

Individual provider Active NPI

Robert Cicchelli, MD

  • Internal Medicine Physician
  • Middletown, RI
National Provider Identifier
1508851601
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09279 Issued in RI
Practice address
99 E Main Rd Ste 19a
Middletown, RI 02842-4957
Phone
(401) 846-0055
Fax
(401) 842-0963
NPI assigned
Sep 14, 2005
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 MD09279 RI Primary

Addresses

Primary practice location

99 E Main Rd Ste 19a
Middletown, RI 02842-4957

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 3

IdentifierTypeStateIssuer
9020330MedicaidRI
110190270OtherRIRR MEDICARE
709004149OtherRIGROUP MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcicchelli220855@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040427001202 RI Practitioner - Internal Medicine 5991792483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

850 Aquidneck Ave
Middletown, RI 02842-7280
Phone (401) 846-0055

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical, Inc. PastSince Jan 1, 1990 Accepting new patients
Coastal Medical, Inc. PastSince Jan 1, 1990 Accepting new patients
Coastal Care PastSince Jan 1, 1990 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine PastSince Nov 8, 2025 Accepting new patients
Coastal Medical, Inc Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Coastal Medical Sleep Disorders Center PastSince Jan 1, 1990 Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

850 Aquidneck Ave
Middletown, RI 02842
Phone (401) 846-0055

99 E Main Rd
Ste 19A
Middletown, RI 02842
Phone (401) 846-0055

Interoperability endpoints

  • Direct secure messaging: rcicchelli220855@brownhealth.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Village House Nursing & Rehabilitation CenterNewport, RI, CCN 415074 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 31, 2008
Mar 31, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 12

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1508851601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E MAIN RD STE 19A",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424957",
            "telephone_number": "401-846-0055",
            "fax_number": "401-842-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCHELLI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020330",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110190270",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "709004149",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcicchelli220855@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "850 Aquidneck Ave",
            "city": "Middletown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028427244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.