NPIMap

Individual provider Active NPI

Mark A Hickman, M.D.

  • Family Medicine Physician
  • Delaware, OH
National Provider Identifier
1073516605
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35076870H Issued in OH
Practice address
90 E William St
Delaware, OH 43015-2149
Phone
(740) 362-8686
Fax
(740) 833-3084
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35076870H OH Primary

Addresses

Primary practice location

90 E William St
Delaware, OH 43015-2149

Mailing address

90 E William St
Delaware, OH 43015-2149
Phone (740) 362-8686

Other identifiers 1

IdentifierTypeStateIssuer
2256866MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080904000199 OH Practitioner - Family Practice 8527134253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1953

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

90 E William St
Delaware, OH 43015-2149
Phone (740) 362-8686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076870HOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince May 1, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2017 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Mar 18, 2019 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Mar 18, 2019 Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Marion Physician Billing LLC Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

Dept L3652
Columbus, OH 43260

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

695 W Central Ave
Delaware, OH 43015
Phone (614) 457-7732

90 E William St
Delaware, OH 43015
Phone (740) 363-1473

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mhickman18855@copcp.medicity.net

Organizations & group practices 9

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1073516605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152149",
            "telephone_number": "740-362-8686",
            "fax_number": "740-833-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152149",
            "telephone_number": "740-362-8686",
            "fax_number": "740-833-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076870H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2256866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.