SUSANNA CICCOLARI MICALDI (MD) – Child & Adolescent Psychiatry Physician, NPI 1790190791
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 PSYCHIATRY in KS
Provider Addresses for SUSANNA CICCOLARI MICALDI (MD)
3600 E Harry St
Wichita, KS 672183713
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
929 N Saint Francis Ave
Wichita, KS 672143821
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
1010 N Kansas St
Wichita, KS 672143124
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
1001 N. MINNEAPOLIS ST
WICHITA, KS 672143127
Phone: (316) 293-2647
Fax: (855) 476-0305
Type: Location
1001 N MINNEAPOLIS ST
WICHITA, KS 672143127
Phone: (316) 293-2647
Fax: (855) 476-0305
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190913001833 | I | Psychiatry | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | 11 | $0 |
Insurance plans in this area (ZIP 67218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| Internal Medicine | KS | |
| - | KS | |
| - | KS | |
| - | KS | |
| Internal Medicine | KS | |
| - | KS |
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