Active NPI
William M Cicio, M.D.
- Cardiovascular Disease Physician
- Conway, SC
National Provider Identifier
1548201569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 83204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272405700 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191118002350 | SC | Practitioner - Cardiovascular Disease (Cardiology) | 1759271463 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 52.78 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 88048 | FL | MD | Cardiovascular Disease Physician |
| MD453708 | PA | MD | Cardiovascular Disease Physician |
| 83204 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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
- https://api.platform.athenahealth.com/5866/brand/1/csg/1/fhir/r4
- 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.
-
- Allergy Physician
- Jupiter, FL
- NPI 1093864670
-
- Cardiovascular Disease Physician
- Pembroke Pines, FL
- NPI 1730190190
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1437197530
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1124127378
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Plantation, FL
- NPI 1063625754
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Miramar, FL
- NPI 1942254057
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Palm Beach Gardens, FL
- NPI 1598707937
Cardiovascular Disease
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.