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DR. GLORIA L CICCONE MD
NPI 1790767440
Pediatrics in Boston, MA

Active since November 17, 2005PECOS Enrolled
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE FND 442, BOSTON, MA 02114(617) 724-9040(617) 726-9346 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gloria L Ciccone Md NPPES

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

DR. GLORIA L CICCONE MD (NPI 1790767440) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (81978) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790767440
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GLORIA L CICCONECredential: MD
Location Address55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE FND 442Boston, MA 02114-2621
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 724-9040
Fax(617) 726-9346
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateDecember 21, 2016
✔ NPI 1790767440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 81978
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 FRUIT ST, Boston, MA 02114
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Other Identifiers 5

OtherJ17479MA · Bcbs Ma
Other081978MA · Tufts Health Plan
Medicare ID-Type UnspecifiedA28791MA
Medicaid3151034MA
Medicare UPING78111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gloria L Ciccone 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Gloria Ciccone's NPI number?

The NPI number for Gloria Ciccone is 1790767440. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Gloria Ciccone located?

Gloria Ciccone practices at 55 Fruit St Massachusetts General Hospital New Born Service Fnd 442, Boston, MA 02114. The listed phone number is (617) 724-9040.

What is Gloria Ciccone's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gloria Ciccone enrolled in Medicare?

Yes. Gloria Ciccone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gloria Ciccone was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.