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

Robert Ciccarelli, PA

Individual provider Physician Assistant · NPI 1104875939

Robert Ciccarelli, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 1985, 41 years ago. Practices with Winslow Indian Health Care Center Inc, a 100-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
41
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4425 E Cotton Center Blvd Allred Cotton Ctr Bldg 4
Phoenix, AZ 85040-8854
Phone: (602) 452-9801
Fax: (602) 452-9852
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1323 (AZ)

Record details

NPI number1104875939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJuly 23, 2007
Mailing address4425 E Cotton Center Blvd, Allred Cotton Center, Building 4, Phoenix, AZ 85040-8854

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Winslow Indian Health Care Center Inc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix