Ediberto Cicilio, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME 99958 Issued in FL

Practice address

567 Avenue K SE
Winter Haven, FL 33880-4215

Phone

(863) 299-1231

Fax

(863) 299-1233

NPI assigned

Mar 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Anesthesiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Miami Anesthesia Services PAGroup PAC ID 8022097211, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homestead Hospital Hospital, Homestead, FL, CCN 100125

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Miami Anesthesia Services, PA

  • Specialist
  • Homestead, FL
  • NPI 1467407007
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates MD PA

  • Anesthesiology Physician
  • Winter Haven, FL
  • NPI 1578589909
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homestead Hospital, Inc.

  • General Acute Care Hospital
  • Homestead, FL
  • NPI 1578547865
  Care Compare affiliation

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1861663155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 SW 99 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33165",
            "telephone_number": "305-207-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-299-1231",
            "fax_number": "863-299-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICILIO",
        "first_name": "EDIBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 99958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Anders Christensen, MD
• Logan Lawrence Christensen, M.D.
• Garrison Frenklin Christian, MD
• Larry Chumney, LDO
• Joseph F Ciarlante, PTA
• Kristen Clark
• Krysta Ann Clark, NP
• Wendy Marie Clark, APRN
• William D Clark, LMT
• Mary Beth Claypool

• Anesthesiology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.

Verify at the official NPI Registry.