Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Ciccarelli, PA

Individual provider Physician Assistant · NPI 1104875939

Robert Ciccarelli, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 1985, 41 years ago. Practices with Winslow Indian Health Care Center Inc, a 100-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
41
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4425 E Cotton Center Blvd Allred Cotton Ctr Bldg 4
Phoenix, AZ 85040-8854
Phone: (602) 452-9801
Fax: (602) 452-9852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1323 (AZ)

Record details

NPI number1104875939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJuly 23, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Winslow Indian Health Care Center Inc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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