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Deactivated NPI 1346557782 Deactivated / Inactive NPI Male Practitioner

Patrick James Dicicco

Contractor - Home Modifications • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Patrick Dicicco has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2010
NPI Deactivation Date January 17, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Patrick Dicicco was a registered Contractor - Home Modifications practicing in Austin, TX. Throughout an active medical career spanning 12 years, Patrick Dicicco provided care at the practice location at 1908 CANYON EDGE DR until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

1908 Canyon Edge Dr

Austin, TX 787332007

Telephone 5129478857
Associated Practice Facility / Clinic
🏢 Greenworks Construction Llc Facility NPI 1801103148

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor - Home Modifications in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Austin, TX (149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

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NPI Profile Active September 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2010

Registered at 1908 CANYON EDGE DR, AUSTIN, TX 787332007 (Tel: 5129478857)

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Updated Business Mailing Address September 07, 2010

Registered at 1500 VILLAGE WEST DR # 29, AUSTIN, TX 787331977 (Tel: 5129478857)

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Provider Name / Credentials Updated September 07, 2010

Recorded as PATRICK DICICCO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2010

Contractor

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Initial NPI Registration & Enumeration September 07, 2010

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: 1346557782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2010
Last Update: September 07, 2010
Deactivation Date: January 17, 2022
Update or Correct Profile

Mailing Address

1500 Village West Dr # 29

Austin, TX 787331977

Phone: 5129478857

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.