NPIMap

Individual provider Active NPI

Eric Dicicco, DO

  • Family Medicine Physician
  • Downingtown, PA
National Provider Identifier
1922010545
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009706L Issued in PA
Practice address
142 Wallace Ave Ste 201
Downingtown, PA 19335-2643
Phone
(610) 873-2700
Fax
(610) 594-2625
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009706L PA Primary

Addresses

Primary practice location

142 Wallace Ave Ste 201
Downingtown, PA 19335-2643

Mailing address

412 Creamery Way Ste 400
Exton, PA 19341-2551
Phone (610) 594-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000718 PA Practitioner - Family Practice 3779470729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

142 Wallace Ave
201 Gateway Medical Associate PC
Downingtown, PA 19335-2643
Phone (610) 873-2700

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Exton, PA, CCN 398263
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Reading Hospital Hospital, West Reading, PA, CCN 390044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pentahealth, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

142 Wallace Ave
Ste 201
Downingtown, PA 19335
Phone (610) 269-7656

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

915 Old Fern Hill Rd
Bldg D
West Chester, PA 19380
Phone (610) 235-4100

520 Maple Ave
Ste 4
West Chester, PA 19380
Phone (610) 430-8200

Interoperability endpoints

  • Direct secure messaging: ericdicicco@gmacc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1922010545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CREAMERY WAY STE 400",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412551",
            "telephone_number": "610-594-7590",
            "fax_number": "610-594-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WALLACE AVE STE 201",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352643",
            "telephone_number": "610-873-2700",
            "fax_number": "610-594-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICICCO",
        "first_name": "ERIC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009706L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.