Individual provider Active NPI

Vivian Chambers Aboko-Cole Hicks, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1316023708
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4144 Issued in AL
Practice address
4000 Balmoral Dr SW
Ste 101
Huntsville, AL 35801-7431
Phone
(256) 533-3525
Fax
(256) 533-3242
NPI assigned
Oct 27, 2006
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4144 AL Primary

Addresses

Primary practice location

4000 Balmoral Dr SW
Ste 101
Huntsville, AL 35801-7431

Mailing address

4000 Balmoral Dr SW
Ste 101
Huntsville, AL 35801-7431
Phone (256) 533-3525

Other identifiers 3

IdentifierTypeStateIssuer
51513859OtherALBLUECROSS/BLUESHIELD
14-1840905OtherALFEDERAL TAX ID
4144OtherALSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090929000359 AL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9830245117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Meharry Medical College School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 Balmoral Dr SW
Suite 101
Huntsville, AL 35801-7431
Phone (256) 533-3525

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: vivian.aboko-cole.hick.1@17352.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1316023708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BALMORAL DR SW",
            "address_2": "STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017431",
            "telephone_number": "256-533-3525",
            "fax_number": "256-533-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BALMORAL DR SW",
            "address_2": "STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017431",
            "telephone_number": "256-533-3525",
            "fax_number": "256-533-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOKO-COLE HICKS",
        "first_name": "VIVIAN",
        "middle_name": "CHAMBERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "4144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "51513859",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "14-1840905",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "4144",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.