Evan Cichelli, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006109 Issued in PA

Practice address

5800 Ridge Ave
Philadelphia, PA 19128-1737

Phone

(706) 338-4344

NPI assigned

Sep 1, 2010

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence Foot and Ankle Associates LLCGroup PAC ID 7214191774, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
• Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
• St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

Merit-based Incentive Payment System (MIPS)

Final score

76.15 of 100Reported as group

Quality

32.87

Promoting interoperability

100

Improvement activities

40

Cost

76.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13327/brand/1/csg/1/fhir/r4
• Direct secure messaging: ecichelli350539@direct-sluhn.org

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.

• Independence Foot and Ankle Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Sellersville, PA
  • NPI 1013275924
  Medicare reassignment Care Compare group NPD
• Grand View Surgery Center at Harleysville, LLC

  • Ambulatory Surgical Clinic/Center
  • Harleysville, PA
  • NPI 1932613643
  NPD (past)
• Kentucky Hospital, LLC

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  NPD (past)

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

• Abington Memorial Hospital

  • General Acute Care Hospital
  • Abington, PA
  • NPI 1811992084
  Care Compare affiliation
• Lansdale Hospital Corporation

  • General Acute Care Hospital
  • Lansdale, PA
  • NPI 1386896306
  Care Compare affiliation
• St. Luke'S Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1891002572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LODGE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284417",
            "telephone_number": "706-338-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281737",
            "telephone_number": "706-338-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHELLI",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "455128844",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029003330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ciccolella, MD
• Emilio Ciccone, PA-C
• Patrick Edwin Ciccone, M.D.
• Michael Christopher Ciccotti, M.D.
• Michael Girard Ciccotti, M.D.
• Cichetti & Delligatti Orthodontics, P.C.
• Michael A. Cichetti, D.M.D.
• Joseph Michael Cichon, M.D., PHD
• Christopher Michael Cielo, D.O.
• Jeffrey J. Cies, PHARMD, BCPS

• Foot & Ankle Surgery Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.