Zbigniew Cichon, M.D.

Key facts

NPI

1881696243

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

96-00887 (NC)

Practice address

204 Jefferson St
Suite 103
North Wilkesboro, NC 28659-3543

Phone

(336) 838-1617

Fax

(336) 838-2637

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Zbigniew Cichon, MD, PA Internal Medicine Physician · North Wilkesboro, NC · NPI 1326217068
  Medicare reassignment NPD Authorized official INTERNAL MEDICINE · NC

Hospital & facility affiliations 7

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

• North Carolina Baptist Hospital Psychiatric Hospital Unit · Winston Salem, NC · NPI 1063480531
  Care Compare affiliation Hospital
• North Carolina Baptist Hospital Rehabilitation Hospital Unit · Winston Salem, NC · NPI 1114995677
  Care Compare affiliation Hospital
• North Carolina Baptist Hospital General Acute Care Hospital · Winston Salem, NC · NPI 1144211301
  Care Compare affiliation Hospital
• North Carolina Baptist Hospital Clinical Medical Laboratory · Winston Salem, NC · NPI 1609162098
  Care Compare affiliation Hospital
• North Carolina Baptist Hospital Pediatric Adolescent Medicine Physician · Winston Salem, NC · NPI 1912179219
  Care Compare affiliation Hospital
• Wake Forest Baptist Health Care at Home, LLC Home Health Agency · Wilkesboro, NC · NPI 1487075149
  Care Compare affiliation Home health agency
• WRMC Hospital Operating Corporation General Acute Care Hospital · North Wilkesboro, NC · NPI 1881614071
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wake Forest Baptist Health Care at Home, LLC Home health agency · Wilkesboro, NC · CCN 347043
• North Carolina Baptist Hospital Hospital · Winston-Salem, NC · CCN 340047
• Wilkes Regional Medical Center Hospital · North Wilkesboro, NC · CCN 340064

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100 (individual)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 2, 2016.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1881696243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591406",
            "telephone_number": "336-838-1617",
            "fax_number": "336-838-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON ST",
            "address_2": "SUITE 103",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593543",
            "telephone_number": "336-838-1617",
            "fax_number": "336-838-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "ZBIGNIEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "96-00887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22641",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "16440",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "82175",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911617",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-07515",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in North Wilkesboro, NC · Internal Medicine Physician in North Carolina