Individual provider Active NPI

Ryan R Cicenas, MD

  • Internal Medicine Physician
  • Scott Depot, WV
National Provider Identifier
1679539522
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21594 Issued in WV
Practice address
111 Great Teays Blvd Ste 101
Scott Depot, WV 25560-9548
Phone
(304) 757-8803
Fax
(304) 757-6904
NPI assigned
Apr 20, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.134827 OH
Internal Medicine Physician 207R00000X 21594 WV Primary
Pediatrics Physician 208000000X 21594 WV
Pediatrics Physician 208000000X 35.134827 OH

Addresses

Primary practice location

111 Great Teays Blvd Ste 101
Scott Depot, WV 25560-9548

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5159

Other practice location 1

100 Pioneer Rd
Wayne, WV 25570-9504
Phone (304) 272-3783

Other practice location 2

1 Timberwolf Ln
Huntington, WV 25704-9377
Phone (304) 429-1764

Other practice location 3

2908 Auburn Rd
Huntington, WV 25704-2715
Phone (304) 781-5800

Other practice location 4

71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544

Other practice location 5

1301 Hal Greer Blvd
Huntington, WV 25701-3803
Phone (304) 525-0572

Other practice location 6

2501 Jackson Ave
Point Pleasant, WV 25550-2035
Phone (304) 857-0004

Other practice location 7

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Other practice location 8

930 2nd St
Huntington, WV 25701-3146
Phone (304) 528-2070

Other practice location 9

723 9th Ave
Huntington, WV 25701-2718
Phone (304) 529-0645

Other practice location 10

2585 3rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other practice location 11

864 Oakwood Rd
Charleston, WV 25314-2010
Phone (304) 352-1191

Other practice location 12

1347 Hillview Dr
Milton, WV 25541-1513
Phone (304) 743-1407

Other practice location 13

3729 Teays Valley Rd Ste 100
Hurricane, WV 25526-9705
Phone (304) 760-6040

Other practice location 14

1246 McClellan Hwy
Harts, WV 25524-9524
Phone (304) 310-1246

Other practice location 15

6350 US Route 60 E
Barboursville, WV 25504-1232
Phone (304) 399-3350

Other practice location 16

2300 US Route 60
Ona, WV 25545-9712
Phone (304) 743-7495

Other practice location 17

1100 Hospital Dr
Hurricane, WV 25526-8712
Phone (304) 757-8803

Other practice location 18

408 Alexander St
Cedar Grove, WV 25309
Phone (304) 595-1770

Other practice location 19

106 Huffard Dr
Bluefield, VA 24605-9209
Phone (276) 322-3427

Other practice location 20

42 McGinnis Dr
Wayne, WV 25570-9553
Phone (304) 272-5136

Other practice location 21

205 Marion Pike
Coal Grove, OH 45638-3165
Phone (740) 532-1188

Other practice location 22

111 Great Teays Blvd Ste 101
Scott Depot, WV 25560-9548
Phone (304) 757-8803

Other identifiers 3

IdentifierTypeStateIssuer
0318066MedicaidOH
010097096MedicaidVA
1679539522MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040902001381 WV Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3971579707 Reassigns benefits to 15 organizations
I20181130002289 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3971579707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
JC Edwards School of Medicine, Marshall University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

408 Alexander St
Cedar Grove, WV 25039
Phone (304) 595-1770

71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Apr 26, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince May 3, 2021 Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Dec 10, 2018 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc Pediatrics CurrentSince Dec 11, 2023 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 10, 2018 Accepting new patients
Valley Health Systems, Inc. CurrentSince May 3, 2021 Accepting new patients
Valley Health Systems Inc Pediatrics CurrentSince Dec 10, 2018 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 10, 2018 Accepting new patients
Valley Health Systems Inc CurrentSince Mar 22, 2022 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince Jul 9, 2021 Accepting new patients
Valley Health Systems Inc CurrentSince Dec 11, 2023 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 11, 2023 Accepting new patients
Bluefield Emergency Physicians Inc Past Accepting new patients
Bluefield Regional Medical Center Inc Internal Medicine Past Accepting new patients
Bluefield Regional Medical Center Past Accepting new patients
Bluefield HBP Medical Group LLC Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

4407 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-0392

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1246 McClellan Hwy
Harts, WV 25524
Phone (304) 310-1246

1 Highlander Way
Huntington, WV 25701
Phone (304) 528-6445

1 Timberwolf Ln
Huntington, WV 25704
Phone (304) 429-1699

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800

723 9th Ave
Huntington, WV 25701
Phone (304) 529-0645

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

930 2nd St
Huntington, WV 25701
Phone (304) 528-2070

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

11315 US Route 60
Ona, WV 25545
Phone (304) 743-7495

2501 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-2303

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

111 Great Teays Blvd
#101
Scott Depot, WV 25560
Phone (304) 757-8803

100 Pioneer Rd
Wayne, WV 25570
Phone (304) 272-3783

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: rcicenas@yourcarecommunity.org
  • Direct secure messaging: rcicenas20370@valleyhealthsystems.direct-ci.com

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1679539522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5159",
            "fax_number": "304-523-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREAT TEAYS BLVD STE 101",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609548",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Pioneer Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709504",
            "country_code": "US",
            "telephone_number": "304-272-3783",
            "fax_number": "304-272-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Timberwolf Ln",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257049377",
            "country_code": "US",
            "telephone_number": "304-429-1764",
            "fax_number": "304-429-1746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2908 Auburn Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257042715",
            "country_code": "US",
            "telephone_number": "304-781-5800",
            "fax_number": "304-781-5504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Fort Gay",
            "state": "WV",
            "postal_code": "255148518",
            "country_code": "US",
            "telephone_number": "304-648-5544",
            "fax_number": "304-648-5989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Hal Greer Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013803",
            "country_code": "US",
            "telephone_number": "304-525-0572",
            "fax_number": "304-529-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant",
            "state": "WV",
            "postal_code": "255502035",
            "country_code": "US",
            "telephone_number": "304-857-0004",
            "fax_number": "304-857-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 2nd St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013146",
            "country_code": "US",
            "telephone_number": "304-528-2070",
            "fax_number": "304-529-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257012718",
            "country_code": "US",
            "telephone_number": "304-529-0645",
            "fax_number": "304-529-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031642",
            "country_code": "US",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "864 Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253142010",
            "country_code": "US",
            "telephone_number": "304-352-1191",
            "fax_number": "681-265-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1347 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255411513",
            "country_code": "US",
            "telephone_number": "304-743-1407",
            "fax_number": "304-743-4516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3729 Teays Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269705",
            "country_code": "US",
            "telephone_number": "304-760-6040",
            "fax_number": "304-760-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1246 McClellan Hwy",
            "address_purpose": "LOCATION",
            "city": "Harts",
            "state": "WV",
            "postal_code": "255249524",
            "country_code": "US",
            "telephone_number": "304-310-1246",
            "fax_number": "304-310-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6350 US Route 60 E",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041232",
            "country_code": "US",
            "telephone_number": "304-399-3350",
            "fax_number": "304-955-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 US Route 60",
            "address_purpose": "LOCATION",
            "city": "Ona",
            "state": "WV",
            "postal_code": "255459712",
            "country_code": "US",
            "telephone_number": "304-743-7495",
            "fax_number": "304-743-6660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268712",
            "country_code": "US",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "WV",
            "postal_code": "25309",
            "country_code": "US",
            "telephone_number": "304-595-1770",
            "fax_number": "304-595-3298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Huffard Dr",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "VA",
            "postal_code": "246059209",
            "country_code": "US",
            "telephone_number": "276-322-3427",
            "fax_number": "276-322-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 McGinnis Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255709553",
            "country_code": "US",
            "telephone_number": "304-272-5136",
            "fax_number": "304-272-6261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Marion Pike",
            "address_purpose": "LOCATION",
            "city": "Coal Grove",
            "state": "OH",
            "postal_code": "456383165",
            "country_code": "US",
            "telephone_number": "740-532-1188",
            "fax_number": "740-532-1183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Great Teays Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609548",
            "country_code": "US",
            "telephone_number": "304-757-8803",
            "fax_number": "304-757-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICENAS",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.134827",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21594",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21594",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.134827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318066",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010097096",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679539522",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.