Individual Healthcare Provider
Cicely Moreno, M.D.
Provider's NPPES record last updated: January 16, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1285171827
- Primary Specialty
- Family Medicine — Addiction Medicine
- Practice Location
- Niles, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 6:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Taxonomy code 207QA0401X Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Michigan)
- 4301509637
- Family Medicine (Indiana)
- 01083223A
Practice Locations
Practice Location
4 Longmeadow Village Dr
Niles, Michigan 49120-7809
Phone: (269) 684-6000
Additional Practice Location
6418 Deans Hill Rd
Berrien Center, Michigan 49102-8713
Phone: (269) 815-5500
Fax: (269) 815-5373
Additional Practice Location
42 N Saint Joseph Ave Ste 300
Niles, Michigan 49120-2203
Phone: (269) 687-1126
Fax: (269) 687-1127
Additional Practice Location
133 W Main St
Benton Harbor, Michigan 49022-3607
Phone: (269) 408-2258
Additional Practice Location
1234 Napier Ave
Saint Joseph, Michigan 49085-2112
Phone: (269) 982-4941
Additional Practice Location
5043 E 81st Ave
Merrillville, Indiana 46410-5912
Phone: (219) 707-5276
Record Information
- Enumeration Date
- January 20, 2017
- Provider's NPPES Record Last Updated
- January 16, 2026
- Certification Date
- January 16, 2026
- NPISignal NPPES Dataset
- August 2026
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