Active NPI
James R Cicchiello, MD
- General Practice Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 26217
- Practice address
- 7926 Preston Hwy
Ste 210
Louisville, KY 40219-3848 - Phone
- (502) 966-8675
- Fax
- (502) 966-8836
- NPI assigned
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 26217 | KY | Primary |
Addresses
Primary practice location
7926 Preston Hwy
Ste 210
Louisville, KY 40219-3848
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2448315000 | Other | PAD - NMA | |
| 64262173 | Medicaid | KY | |
| 1193582 | Other | CHA / NMA | |
| P00266880 | Other | KY | RRMCR - NMA |
| 000000364343 | Other | ANTHEM - NMA | |
| 000000720334 | Other | KY | ANTHEM - ICC |
| 0724045 | Other | CIGNA / NMA | |
| 50007142 | Other | PASSPORT - NMA | |
| 0000023025F | Other | HUMANA / NMA | |
| 062447 | Other | SIHO - NMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20031211000714 | KY | Practitioner - General Practice | 3577469287 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26217 | KY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients | |
| Norton Enterprises, Inc. | Past | Accepting new patients |
Locations
9131 Fern Creek Rd
Louisville, KY 40291
Phone (502) 239-3228
7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
10284 Shelbyville Rd
Louisville, KY 40223
Phone (502) 244-5827
7926 Preston Hwy
Louisville, KY 40219
Phone (502) 964-4357
7430 Jefferson Blvd
#200
Louisville, KY 40219
Phone (502) 966-8675
Interoperability endpoints
- jcicchiello1744@direct.nortonhealthcare.org
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1104863562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1730144296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7926 PRESTON HWY",
"address_2": "STE 210",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193848",
"telephone_number": "502-966-8675",
"fax_number": "502-966-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCHIELLO",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "26217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAD - NMA",
"identifier": "2448315000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64262173",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA / NMA",
"identifier": "1193582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR - NMA",
"identifier": "P00266880",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NMA",
"identifier": "000000364343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - ICC",
"identifier": "000000720334",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NMA",
"identifier": "0724045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - NMA",
"identifier": "50007142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA / NMA",
"identifier": "0000023025F",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NMA",
"identifier": "062447",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.