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PAOLO JOSE CUCULICCHIO MD
NPI 1104660190
Student in an Organized Health Care Education/Training Program in Miamisburg, OH

Active since June 24, 2024PECOS Enrolled
2115 LEITER RD, MIAMISBURG, OH 45342(937) 384-6800(937) 384-6938 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paolo Jose Cuculicchio Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAOLO JOSE CUCULICCHIO MD (NPI 1104660190) is an individual student in an organized health care education/training program in Miamisburg, Ohio and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104660190
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAOLO JOSE CUCULICCHIOCredential: MD
Location Address2115 LEITER RDMiamisburg, OH 45342-3600
Mailing Address2115 Leiter RdMiamisburg, OH 45342-3600 · (937) 384-6800 · Fax (937) 384-6938
Phone(937) 384-6800
Fax(937) 384-6938
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1104660190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2115 LEITER RD, Miamisburg, OH 45342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paolo Jose Cuculicchio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROSARIA CARUSO DO
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
ERIC D OLIVEIRA MD
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
JAIME PARRA YEPES
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
SARAH BEACH
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
DR. ALICE MARIA VARUGHESE MD
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
DR. PAUL OBENG-OKYERE D.O
Internal Medicine (Cardiovascular Disease)
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
PHILLIP WITCHER MD
Student in an Organized Health Care Education/Training Program
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800
INTERNAL MEDICINE ASSOCIATES, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2115 LEITER RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paolo Cuculicchio's NPI number?

The NPI number for Paolo Cuculicchio is 1104660190. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Paolo Cuculicchio located?

Paolo Cuculicchio practices at 2115 Leiter Rd, Miamisburg, OH 45342. The listed phone number is (937) 384-6800.

What is Paolo Cuculicchio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Paolo Cuculicchio enrolled in Medicare?

Yes. Paolo Cuculicchio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paolo Cuculicchio was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.