KRISTINA CICCOTELLI (MD) – Anesthesiology Physician, NPI 1184714586

KRISTINA CICCOTELLI (MD) is a healthcare provider. based in Meadowbrook, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD049754L (PA). The NPI Number for KRISTINA CICCOTELLI (MD) is 1184714586

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA CICCOTELLI (MD)
NPI
1184714586
Phone
(215) 938-3413
Address
1650 HUNTINGDON PIKE
Enumeration Date
14 October 2006
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
2159383413
Graduation Year
1990 (36 years ago)
PAC ID
4082513213
Group Practice PAC ID
6406742642
Professional Enrollment ID
I20040107000047
Address ID
PA190468001ME1648XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

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Provider Addresses for KRISTINA CICCOTELLI (MD)

  • 1650, Huntingdon Pike, Meadowbrook, Abington Township, Montgomery County, Pennsylvania, 19046, United States

    SUITE 313

    MEADOWBROOK, PA 190468007

    Phone: (215) 938-3413

    Fax: (215) 938-3422

    Type: Mailing

  • Huntingdon Pike, Huntingdon Valley, Lower Moreland Township, Montgomery County, Pennsylvania, 19006, United States

    HUNTINGDON VALLEY, PA 19006

    Phone: (215) 938-3413

    Fax: (215) 938-3122

    Type: Location

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: 2004-01-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040107000047IAnesthesiologyPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery454305$0
00811Anesthesia for other procedure on large bowel using an endoscope274273$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope129128$0
00812Anesthesia for exam of colon using an endoscope110110$0
00813Anesthesia for procedure on small and large bowel using an endoscope7676$0
View full utilization report →

Insurance plans in this area (ZIP 19046)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406742642View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Pain ManagementPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Is KRISTINA CICCOTELLI (MD) listed with a National Provider Identifier?
Yes — KRISTINA CICCOTELLI (MD) has NPI 1184714586 on file in the registry.
Is there an active status for KRISTINA CICCOTELLI (MD)?
For scheduling context, KRISTINA CICCOTELLI (MD) is shown as active in the registry.
How would a patient describe KRISTINA CICCOTELLI (MD)'s focus?
For KRISTINA CICCOTELLI (MD), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KRISTINA CICCOTELLI (MD) registered?
Use Meadowbrook, Pennsylvania as the headline location for KRISTINA CICCOTELLI (MD) here.
Does KRISTINA CICCOTELLI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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