Individual provider Active NPI

William Bejamin Hickman IV, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1407213515
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD600004666 Issued in DC
Practice address
600 Pennsylvania Ave SE Ste 500
Washington, DC 20003-4351
Phone
(202) 833-4543
NPI assigned
Jan 20, 2016
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD600004666 DC Primary

Addresses

Primary practice location

600 Pennsylvania Ave SE Ste 500
Washington, DC 20003-4351

Mailing address

12211 Plum Orchard Dr Ste 220
Silver Spring, MD 20904-7919
Phone (301) 754-3060

Other practice location 1

2021 K St NW Ste 800
Washington, DC 20006-1008
Phone (202) 833-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160810000003 VA Order and Referring Only - General PracticePractitioner - General Practice 5597059808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262990VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Pediatricians & Associates, LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: whickman799917@soc.inova.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1407213515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 PLUM ORCHARD DR STE 220",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047919",
            "telephone_number": "301-754-3060",
            "fax_number": "301-681-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PENNSYLVANIA AVE SE STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034351",
            "telephone_number": "202-833-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 K St NW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061008",
            "country_code": "US",
            "telephone_number": "202-833-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "WILLIAM",
        "middle_name": "BEJAMIN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD600004666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.