NPIMap

Individual provider Active NPI

Xiaomei Gao-Hickman, MD

  • Neurology Physician
  • Bellefontaine, OH
National Provider Identifier
1336133628
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35 081268 Issued in OH
Practice address
2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 651-6962
Fax
(937) 651-6959
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35 081268 OH Primary

Addresses

Primary practice location

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042

Mailing address

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 651-6962

Other identifiers 2

IdentifierTypeStateIssuer
57001OtherFLBCBS
201841070OtherFLTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20210604001432 WV Practitioner - Neurology 2264538206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700

3948 Teays Valley Rd
Hurricane, WV 25526-8728

400 Association Dr
Suite 102
Charleston, WV 25311-1298

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 081268OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Feb 23, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Feb 23, 2021 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Gulf Coast Hma Physician Management LLC Past Accepting new patients
Punta Gorda Hma Physician Management LLC Past Accepting new patients
Neurological Associates, Inc Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1208 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-5747

Organizations & group practices 8

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 11

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1336133628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-651-6962",
            "fax_number": "937-651-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-651-6962",
            "fax_number": "937-651-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO-HICKMAN",
        "first_name": "XIAOMEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35 081268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201841070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.