Active NPI
Michael Anthony Cicero, M. D.
- Pediatrics Physician
- Franklin, VA
National Provider Identifier
1962481937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 010141560
- Practice address
- 106 Fairview Dr
Franklin, VA 23851-1247 - Phone
- (757) 569-9397
- NPI assigned
- Jan 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 010141560 | VA | Primary |
Addresses
Primary practice location
106 Fairview Dr
Franklin, VA 23851-1247
Mailing address
25114 River Run TRL
Zuni, VA 23898-3202
Phone (757) 562-7838
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006732798 | Medicaid | VA | |
| 3657687 | Other | VA | CIGNA |
| 600010631 | Other | VA | CIGNA HMO |
| 67041 | Other | VA | SENTARA |
| 541436003 | Other | VA | CHAMPUS/TRICARE |
| 823584 | Other | VA | OPTIMA, MAMSI, ALLIANCE, |
| 5244135 | Other | VA | AETNA |
| 890505G | Medicaid | NC | |
| 048159 | Other | VA | ANTHEM BC & BS |
| 0218F | Other | NC | BLUE CROSS |
| 98764C | Other | VA | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010141560 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anrae G. Applewhite, MD, PLLC | Past | Accepting new patients | |
| Childrens Specialty Group PLLC | Pediatrics | Past | Accepting new patients |
| Michael a Cicero MD PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Franklin, VA
- NPI 1033531918
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962481937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25114 RIVER RUN TRL",
"city": "ZUNI",
"state": "VA",
"postal_code": "238983202",
"telephone_number": "757-562-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FAIRVIEW DR",
"city": "FRANKLIN",
"state": "VA",
"postal_code": "238511247",
"telephone_number": "757-569-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICERO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "010141560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006732798",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3657687",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "600010631",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "67041",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "541436003",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA, MAMSI, ALLIANCE,",
"identifier": "823584",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5244135",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890505G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "048159",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0218F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "98764C",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.