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

Dr. Lee Michael Ciccarelli, MD

Individual provider Specialist · NPI 1417909029

Dr. Lee Michael Ciccarelli, MD is a Geriatric Medicine in Williamsport, Pennsylvania. Graduated from Wake Forest University School of Medicine in 1978, 48 years ago. Practices with H2 Rehabilitation Extension Services LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
48
Trained at
Wake Forest University School of Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

429 Washington Blvd
Williamsport, PA 17701-5255
Phone: (570) 327-9480
Fax: (570) 327-9483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD022616E (PA)
Legal Medicine Taxonomy 173000000X · Licence MD022616E (PA)

Record details

NPI number1417909029
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 16, 2006
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice H2 Rehabilitation Extension Services Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsport