NPIMap

Individual provider Active NPI

Ronald B. Hicks II, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1326044520
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7996 Issued in NV
Practice address
5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone
(775) 204-4000
Fax
(775) 204-4001
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 7996 NV Primary

Addresses

Primary practice location

5975 S Los Altos Pkwy
Sparks, NV 89436-7699

Mailing address

2345 E Prater Way
Ste 301
Sparks, NV 89434-9639
Phone (775) 352-3520

Other practice location 1

2345 E Prater Way
Ste 301
Sparks, NV 89434-9639
Phone (775) 352-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040527001292 NV Practitioner - Family Practice 8527049220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7996NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group Hicks PC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Diane M Thomas M D P C Family Medicine PastSince Jul 30, 2009 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

15 McCabe Dr
Ste 200
Reno, NV 89511
Phone (775) 355-9411

6275 Sharlands Ave
Ste B1518
Reno, NV 89523

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

6275 Sharlands Ave
Ste B15
Reno, NV 89523

5975 S Los Altos Pkwy
Sparks, NV 89436

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1326044520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "STE 301",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349639",
            "telephone_number": "775-352-3520",
            "fax_number": "775-352-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-204-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 E Prater Way",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894349639",
            "country_code": "US",
            "telephone_number": "775-352-3520",
            "fax_number": "775-352-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RONALD",
        "middle_name": "B.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.