Active NPI
Michael Powel Hicken, M.D.
- Family Medicine Physician
- Hillsboro, OR
National Provider Identifier
1033160411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD24159
- Practice address
- 5295 NE Elam Young Pkwy
Suite 180
Hillsboro, OR 97124-7567 - Phone
- (503) 615-0960
- Fax
- (503) 615-8572
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD24159 | OR | Primary |
Addresses
Primary practice location
5295 NE Elam Young Pkwy
Suite 180
Hillsboro, OR 97124-7567
Mailing address
5295 NE Elam Young Pkwy
Suite 180
Hillsboro, OR 97124-7567
Phone (503) 615-0960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286230 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5295 NE Elam Young Pkwy
Suite 180
Hillsboro, OR 97124-7575
Phone (503) 615-0960
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24159 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Hicken, MD, PC | Family Medicine | Current | Accepting new patients |
Locations
5880 NE Cornell Rd
Ste B
Hillsboro, OR 97124
Phone (503) 297-3440
5295 NE Elam Young Pkwy
Ste 180
Hillsboro, OR 97124
Phone (503) 615-0960
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIHBAA/Endpoint/DIHBAA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hillsboro, OR
- NPI 1508816703
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1033160411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5295 NE ELAM YOUNG PKWY",
"address_2": "SUITE 180",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247567",
"telephone_number": "503-615-0960",
"fax_number": "503-615-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 NE ELAM YOUNG PKWY",
"address_2": "SUITE 180",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247567",
"telephone_number": "503-615-0960",
"fax_number": "503-615-8572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEN",
"first_name": "MICHAEL",
"middle_name": "POWEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD24159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286230",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.