1. Home
  2. Directory
  3. Kansas
  4. Wichita
  5. Psychiatry Neurology
  6. NPI Profile

SUSANNA CICCOLARI MICALDI MD
NPI 1790190791
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wichita, KS

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
1001 N. MINNEAPOLIS ST, WICHITA, KS 67214(316) 293-2647(855) 476-0305 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Nov 13, 2019, Jun 19, 2017 (3 updates tracked since 2017).

About Susanna Ciccolari Micaldi Md NPPES

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

SUSANNA CICCOLARI MICALDI MD (NPI 1790190791) is an individual child & adolescent psychiatry provider in Wichita, Kansas, licensed in Kansas (04-41077) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790190791
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSUSANNA CICCOLARI MICALDICredential: MD
Location Address1001 N. MINNEAPOLIS STWichita, KS 67214-3127
Mailing Address1001 N Minneapolis StWichita, KS 67214-3127 · (316) 293-2647 · Fax (855) 476-0305
Phone(316) 293-2647
Fax(855) 476-0305
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 27, 2014
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1790190791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in KS · 04-41077✔ Licensed in KS · 94-08402
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 94-08402 (KS), 04-41077 (KS)
1001 N. MINNEAPOLIS ST, Wichita, KS 67214
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1929 N Saint Francis AveWichita, KS 67214-3821 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 21010 N Kansas StWichita, KS 67214-3124 · Phone (316) 293-2611 · Fax (316) 293-1882
Location 33600 E Harry StWichita, KS 67218-3713 · Phone (316) 293-2611 · Fax (316) 293-1882

Other Identifiers 1

Medicaid30004664320001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susanna Ciccolari Micaldi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406072149
PECOS Enrollment IDI20190913001833
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.

Medicare Billing Reassignment

Medicare enrollment records show Susanna Ciccolari Micaldi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Kansas School Of Medicine Wichita Medical Practice Assoc
Same address
Internal Medicine
1001 N MINNEAPOLIS
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 130 clinicians in this Medicare group
NPI 1639143712 (316) 293-2620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

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 Susanna Ciccolari Micaldi's NPI number?

The NPI number for Susanna Ciccolari Micaldi is 1790190791. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Susanna Ciccolari Micaldi located?

Susanna Ciccolari Micaldi practices at 1001 N. Minneapolis St, Wichita, KS 67214. The listed phone number is (316) 293-2647.

What is Susanna Ciccolari Micaldi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Susanna Ciccolari Micaldi enrolled in Medicare?

Yes. Susanna Ciccolari Micaldi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susanna Ciccolari Micaldi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Ciccolari Micaldi reassigns Medicare benefits to University Of Kansas School Of Medicine Wichita Medical Practice Assoc (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanna Ciccolari Micaldi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susanna Ciccolari Micaldi accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Susanna Ciccolari Micaldi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susanna Ciccolari Micaldi affiliated with any hospitals?

According to CMS data, Susanna Ciccolari Micaldi is affiliated with Ascension Via Christi Hospitals Wichita, Inc..

When was this NPI record last updated?

The NPPES record for Susanna Ciccolari Micaldi was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.