Individual provider Active NPI

Benjamin J Hicks, MD

  • Family Medicine Physician
  • Osceola, IA
National Provider Identifier
1124353099
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-39719 Issued in IA
Practice address
827 S Jackson St
Osceola, IA 50213-1666
Phone
(641) 342-2128
Fax
(641) 342-3179
NPI assigned
Oct 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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 MD-39719 IA Primary

Addresses

Primary practice location

827 S Jackson St
Osceola, IA 50213-1666

Mailing address

827 S Jackson St
Osceola, IA 50213-1666
Phone (641) 342-2128

Other identifiers 1

IdentifierTypeStateIssuer
1124353099MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20110907001427 IA Practitioner - Family Practice 5395874135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarke County Public HospitalGroup PAC ID 1951219328, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

800 S Fillmore St
Osceola, IA 50213-1694

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Everystep Home health agency, Creston, IA, CCN 167430
  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Care Initiatives Hospice - Greenfield Hospice, Greenfield, IA, CCN 161595
  • Clarke County Hospital Hospital, Osceola, IA, CCN 161348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-39719IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital Current Accepting new patients
Clarke County Public Hospital Family Medicine CurrentSince Jul 24, 2019 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Clarke County Public Hospital Family Medicine CurrentSince Jul 24, 2019 Accepting new patients

Locations

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Interoperability endpoints

  • Direct secure messaging: bhicks168578@direct.unitypoint.org

Organizations & group practices 4

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 5

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1124353099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "641-342-2128",
            "fax_number": "641-342-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-39719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124353099",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

Verify at the official NPI Registry.