NPIMap

Individual provider Active NPI

Lori Ann Hickson, M.D.

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1235196163
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2259 Issued in TX
Practice address
1619 E. Common St.
BLDG. L, Suite 1201
New Braunfels, TX 78130
Phone
(830) 203-6695
Fax
(830) 214-6292
NPI assigned
Apr 26, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76559 CA
Internal Medicine Physician 207R00000X P2259 TX Primary

Addresses

Primary practice location

1619 E. Common St.
BLDG. L, Suite 1201
New Braunfels, TX 78130

Mailing address

1619 E. Common St.
BLDG. L, Suite 1201
New Braunfels, TX 78130
Phone (830) 203-6695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120905000170 TX Practitioner - Internal Medicine 3072637990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1619 E Common St
BLDG L Suite 1201
New Braunfels, TX 78130-3464
Phone (830) 203-6695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as group
Quality
65.35
Promoting interoperability
100
Improvement activities
40
Cost
80.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Hickson, MD PA Internal Medicine CurrentSince Jun 8, 2012 Accepting new patients
Newport Center Medical Group PastSince Aug 1, 1996 Accepting new patients
Riamd Inc Past Accepting new patients

Locations

1619 E Common St
Ste 1201
New Braunfels, TX 78130
Phone (830) 620-0330

598 N Union Ave
Ste 350
New Braunfels, TX 78130
Phone (830) 500-3034

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5091/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lori.hickson.1@31011.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1235196163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 E. COMMON ST.",
            "address_2": "BLDG. L, SUITE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-203-6695",
            "fax_number": "830-214-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 E. COMMON ST.",
            "address_2": "BLDG. L, SUITE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-203-6695",
            "fax_number": "830-214-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.