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Active NPI 1104875939 Individual Practitioner Male Practitioner

Robert Ciccarelli , PA

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Ciccarelli, PA is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 41 years of clinical experience since completing medical education in 1985, Robert Ciccarelli delivers high-quality medical care to the local community at 4425 E COTTON CENTER BLVD.

Robert Ciccarelli is affiliated with Winslow Indian Health Care Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4425 E Cotton Center Blvd
Allred Cotton Center, Building 4

Phoenix, AZ 850408854

Telephone 6024529801
Fax 6024529852
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +30.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ciccarelli (41 Years) 41 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 1323

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
102559 (AZ)

Hospital & Practice Group Affiliations

Winslow Indian Health Care Center Inc

500 Indiana Ave, Winslow, AZ 860472169

Winslow Indian Health Care Center Inc

Swc Navajo Route 15 And 60, Dilkon, AZ 860472169

Phone: 9282894646

Winslow Indian Health Care Center Inc

500 N Indiana Ave, Winslow, AZ 860472169

Phone: 9282894646

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gil Holland , MD

Family Medicine

NPI 1770564213

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2007

Registered at 4425 E COTTON CENTER BLVD, ALLRED COTTON CENTER, BUILDING 4, PHOENIX, AZ 850408854 (Tel: 6024529801)

📍
Updated Business Mailing Address July 23, 2007

Registered at 4425 E COTTON CENTER BLVD, ALLRED COTTON CENTER, BUILDING 4, PHOENIX, AZ 850408854 (Tel: 6024529801)

👤
Provider Name / Credentials Updated July 23, 2007

Recorded as ROBERT CICCARELLI, P.A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Physician Assistant (License #1323 in AZ)

🟢
Initial NPI Registration & Enumeration May 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104875939
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2006
Last Update: July 23, 2007
Sole Proprietor: No

Mailing Address

4425 E Cotton Center Blvd, Allred Cotton Center, Building 4

Phoenix, AZ 850408854

Phone: 6024529801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.