NPIMap

Individual provider Active NPI

Vincent Caicco, DO

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1932506730
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34013187 Issued in OH
Practice address
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone
(330) 372-0260
Fax
(330) 372-0261
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34013187 OH Primary
Family Medicine Physician 207Q00000X 58.006052 OH

Addresses

Primary practice location

349 Niles Cortland Rd NE
Warren, OH 44484-1976

Mailing address

349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone (330) 372-0260

Other identifiers 1

IdentifierTypeStateIssuer
0312750MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180823000859 OH Practitioner - Family Practice 8426353277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E Bisel DO and Associates LLCGroup PAC ID 4486700267, 4 clinicians

Practice addresses (Care Compare)

349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone (330) 372-0260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34013187OHMDFamily Medicine Physician
58.006052OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Bisel, DO & Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

349 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-0260

667 Eastland Ave SE
Fl 5
Warren, OH 44484
Phone (330) 841-4750

Interoperability endpoints

  • Direct secure messaging: vcaicco80551@direct.bsmhealth.org

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.

Hospital & facility affiliations 8

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1932506730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAICCO",
        "first_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34013187",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.006052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.