Individual provider Active NPI

Mark G Hickey, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Louisville, CO
National Provider Identifier
1063480499
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
DR-48317 Issued in CO
Practice address
950 Spruce St Ste 1H
Louisville, CO 80027-1977
Phone
(720) 598-1189
NPI assigned
Mar 10, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X DR-48317 CO Primary

Addresses

Primary practice location

950 Spruce St Ste 1H
Louisville, CO 80027-1977

Mailing address

950 Spruce St Ste 1H
Louisville, CO 80027-1977
Phone (720) 625-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000646 CO Practitioner - Sleep MedicinePractitioner - Neurology 3870646607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
University of South Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rem Sleep Medicine P.C.Group PAC ID 8325178775, 2 clinicians

Practice addresses (Care Compare)

950 Spruce St
Suite 1H
Louisville, CO 80027-1976

950 Spruce St
Suite 1H
Louisville, CO 80027-1977
Phone (720) 598-1189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-48317COMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rem Sleep Medicine P.C. Sleep Medicine CurrentSince Apr 6, 2010 Accepting new patients

Locations

1000 Alpine Ave
Ste 220
Boulder, CO 80304
Phone (303) 441-0559

1630 Dry Creek Dr
Ste 200
Longmont, CO 80503

950 Spruce St
Ste 1H
Louisville, CO 80027
Phone (720) 598-1189

Interoperability endpoints

  • Direct secure messaging: mark.hickey.1@2395.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1063480499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SPRUCE ST STE 1H",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271977",
            "telephone_number": "720-625-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SPRUCE ST STE 1H",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271977",
            "telephone_number": "720-598-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CO",
            "license": "DR-48317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.