NPIMap

Individual provider Active NPI

Mary Hicks, MD

  • Hospitalist Physician
  • Greenwood Village, CO
National Provider Identifier
1003822198
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
45326 Issued in CO
Practice address
5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2709
Phone
(303) 745-0000
Fax
(303) 708-1834
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45326 CO
Internal Medicine Physician 207R00000X 036112109 IL
Hospitalist Physician 208M00000X 45326 CO Primary

Addresses

Primary practice location

5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2709

Mailing address

5200 DTC Pkwy
Suite 400
Greenwood Village, CO 80111-2709
Phone (303) 745-0000

Other identifiers 7

IdentifierTypeStateIssuer
7215059OtherILBCBS PPO
0361121092MedicaidIL
105682OtherILHEALTH ALLIANCE
623665OtherILHEALTHLINK
IL01V7OtherILJOHN DEERE
P00281865OtherILRAILROAD MEDICARE
46379576MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000732 CO Practitioner - Internal Medicine 2668436031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care and Pulmonary Consultants, P.C.Group PAC ID 7315851953, 151 clinicians

Practice addresses (Care Compare)

7100 E Belleview Ave
Suite G10
Greenwood Village, CO 80111-1634
Phone (303) 745-0000

Hospital & facility affiliations

  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
69.26
Improvement activities
40
Cost
69.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036112109ILMDInternal Medicine Physician
45326COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants, PC Hospitalist CurrentSince Jul 1, 2009 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1003822198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY",
            "address_2": "SUITE 400",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112709",
            "telephone_number": "303-745-0000",
            "fax_number": "303-708-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY",
            "address_2": "SUITE 400",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112709",
            "telephone_number": "303-745-0000",
            "fax_number": "303-708-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45326",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112109",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "45326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "7215059",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361121092",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "105682",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "623665",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IL01V7",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281865",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46379576",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.