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

Cory Andrew Ciccone, DO

Individual provider Internal Medicine Physician · NPI 1154617793

Cory Andrew Ciccone, DO is an Internal Medicine in Wichita, Kansas. Qualified in 2010, 16 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
16
Licensed in
KS
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1131 S Clifton Ave Ste B
Wichita, KS 67218-2963
Phone: (316) 462-1040
Fax: (316) 462-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 05-40186 (KS)

Record details

NPI number1154617793
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESOctober 11, 2017

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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