Individual provider Active NPI

Brian Cicuto, DO

  • Pain Medicine (Anesthesiology) Physician
  • Natrona Heights, PA
National Provider Identifier
1891767653
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS007460L Issued in PA
Practice address
1709 Union Ave
Natrona Heights, PA 15065-2104
Phone
(724) 226-0080
Fax
(724) 226-0083
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS007460L PA Primary

Addresses

Primary practice location

1709 Union Ave
Natrona Heights, PA 15065-2104

Mailing address

1709 Union Ave
Natrona Heights, PA 15065-2104
Phone (724) 226-0080

Other identifiers 2

IdentifierTypeStateIssuer
11024261OtherCAQH
001528326MedicaidPA

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110404000056 PA Practitioner - Pain Management 5991989733 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007462LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2019 Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2019 Accepting new patients
Pain & Disability Management Consultants, P.C. Past Accepting new patients

Locations

1629 Union Ave
Ste 4
Natrona Heights, PA 15065
Phone (724) 226-7415

1709 Union Ave
Natrona Heights, PA 15065
Phone (724) 226-0080

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

2585 Freeport Rd
Ste 105
Pittsburgh, PA 15238
Phone (412) 235-5885

320 E North Ave
Fl 2
Pittsburgh, PA 15212
Phone (412) 359-3751

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1891767653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 UNION AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652104",
            "telephone_number": "724-226-0080",
            "fax_number": "724-226-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 UNION AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652104",
            "telephone_number": "724-226-0080",
            "fax_number": "724-226-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICUTO",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS007460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11024261",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001528326",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.