Randy David Hicks, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35091256 Issued in OH

Practice address

3346 Lennon Road
Flint, MI 48507-1015

Phone

(810) 732-1919

Fax

(810) 732-3740

NPI assigned

Apr 25, 2006

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Diagnostic Radiology

Education

Michigan State University College of Human Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rhicks1132115@direct.hfhs.org

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.

• Regional Medical Imaging, P.C.

  • Diagnostic Radiology Physician
  • Flint, MI
  • NPI 1427057967
  Medicare reassignment Care Compare group Authorized official
• Family Orthopedic Associates P L C

  dba OrthoMichigan Therapy Services

  • Physical Therapist
  • Flint, MI
  • NPI 1326436817
  NPD (past)
• Mercy Memorial Hospital Corporation

  dba Monroe Cancer Center

  • Specialist
  • Monroe, MI
  • NPI 1376997551
  NPD (past)
• Mercy Memorial Hospital Corporation

  • Community/Behavioral Health Agency
  • Monroe, MI
  • NPI 1942354873
  NPD (past)
• United Diagnostics PLLC

  • Diagnostic Radiology Physician
  • Rochester Hills, MI
  • NPI 1003160755
  NPD (past)

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1376509851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 LENNON ROAD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-244-7109",
            "fax_number": "810-732-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 LENNON ROAD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-732-1919",
            "fax_number": "810-732-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RANDY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301048682",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301048682",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35091256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camillia Annett Hicks
• Crystal Hicks, BS
• Heather Hicks
• Jeanne Koistinen Hicks, MD
• Jill Lynn Hicks, RN, EMT-P
• Sydney Hicks
• Matthew Hiestand
• Angelya Higginbotham, MPH
• Carol A Higgins, CNP
• High Point Psychiatry PLLC

• Diagnostic Radiology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.