Individual provider Active NPI

William M Cicio, M.D.

  • Cardiovascular Disease Physician
  • Conway, SC
National Provider Identifier
1548201569
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
83204 Issued in SC
Practice address
2376 Cypress Cir Ste 102
Conway, SC 29526-8964
Phone
(843) 347-8953
Fax
(843) 347-0226
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 88048 FL
Cardiovascular Disease Physician 207RC0000X MD453708 PA
Cardiovascular Disease Physician 207RC0000X 83204 SC Primary

Addresses

Primary practice location

2376 Cypress Cir Ste 102
Conway, SC 29526-8964

Mailing address

300 Singleton Ridge Rd
Attention Patient Accounting
Conway, SC 29526-9142
Phone (843) 234-6827

Other practice location 1

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2800

Other identifiers 1

IdentifierTypeStateIssuer
272405700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20191118002350 SC Practitioner - Cardiovascular Disease (Cardiology) 1759271463

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 88048FLMDCardiovascular Disease Physician
MD453708PAMDCardiovascular Disease Physician
83204SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg Associates Inc Cardiovascular Disease Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Memorial Ekg Associates PA Cardiovascular Disease Past Accepting new patients
Allergy and Asthma Care of the Palm Beaches, PA Past Accepting new patients
Palm Beach Cardiology Center Inc Cardiovascular Disease PastSince Jul 15, 2013 Accepting new patients
Florida Institute for Cardiovascular Care PA Cardiovascular Disease Past Accepting new patients
Miramar Ekg Readers Cardiovascular Disease Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIGBA

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1548201569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PATIENT ACCOUNTING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6827",
            "fax_number": "843-234-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 102",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268964",
            "telephone_number": "843-347-8953",
            "fax_number": "843-347-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 High St",
            "address_2": "Suite 2001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013102",
            "country_code": "US",
            "telephone_number": "570-321-2800",
            "fax_number": "570-321-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICIO",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 88048",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD453708",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "83204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272405700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.