Michael L Hicks, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

4301406967 Issued in MI

Practice address

44405 Woodward Ave
202
Pontiac, MI 48341-5023

Phone

(248) 858-2270

Fax

(248) 335-6171

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, MD2 enrollments

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 2

Specialty

Obstetrics/GynecologyAlso: Gynecological Oncology

Education

University of Alabama School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SJMH Medical Practice-SMHCGroup PAC ID 8628965175, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Merit-based Incentive Payment System (MIPS)

Final score

76.43 of 100Reported as group

Quality

84.93

Improvement activities

0

Cost

73.5

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhicks37368@direct.trinity-health.org

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.

• Michael L. Hicks, MD, PC

  • Gynecologic Oncology Physician
  • Pontiac, MI
  • NPI 1427161306

  Gynecologic Oncology, MI

  Medicare reassignment NPD Authorized official
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684

  MI

  Medicare reassignment Care Compare group NPD
• Luminis Health Medical Group, LLC

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205

  MD

  Medicare reassignment NPD
• Michael L. Hicks, MD, PC

  • Gynecologic Oncology Physician
  • Pontiac, MI
  • NPI 1134137813

  Gynecologic Oncology

  NPD Authorized official
• SJMH Medical Practice-SMHC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366644551
  NPD
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD
• Luminis Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
  • NPI 1992772180
  NPD
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815
  NPD (past)

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

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385

  Hospital

  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327

  Hospital

  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194772020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 CARMEN CT W",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483242919",
            "telephone_number": "248-760-2239",
            "fax_number": "877-247-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "address_2": "202",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-2270",
            "fax_number": "248-335-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MI",
            "license": "4301406967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caridad Hernandez de Hoyos
• Eduardwil Josue Hernandez Vegas, MD
• Florencia Herradon
• Christopher Ryan Hetrick, MD
• Alesha Hibbs
• Arlet Hintiryan
• Chetna Naresh Hirani, M.D.
• Mohammed Afsharhussain Hithayathulla, M.D.
• Qamrul Hoda, MD
• Ashley Hoffman, FNP

• All providers in Pontiac, MI
• Gynecologic Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.