NPIMap

Individual provider Active NPI

Kevin Andrew Hicks, M.D.

  • Rheumatology Physician
  • Colonial Heights, VA
National Provider Identifier
1427106624
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101238458 Issued in VA
Practice address
300A Temple Lake Dr
Suite 1
Colonial Heights, VA 23834-2972
Phone
(804) 524-2400
Fax
(804) 526-1852
NPI assigned
Jan 6, 2007
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 23433 NH
Rheumatology Physician 207RR0500X 0101238458 VA Primary

Addresses

Primary practice location

300A Temple Lake Dr
Suite 1
Colonial Heights, VA 23834-2972

Mailing address

300A Temple Lake Dr
Suite 1
Colonial Heights, VA 23834-2972
Phone (804) 524-2400

Other practice location 1

1870 Amherst St Ste 1D
Winchester, VA 22601-2841
Phone (540) 536-6200

Other practice location 2

910 N Eisenhower Ave
Mason City, IA 50401-1552
Phone (641) 428-5911

Other practice location 3

2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4000

Other identifiers 1

IdentifierTypeStateIssuer
1427106624MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khicks1157739@soc.inova.org
Direct Messaging Address khicks1157739@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070801000339 VA Practitioner - RheumatologyPractitioner - Internal Medicine 4981795226 Reassigns benefits to 2 organizations
I20250610000385 PA Practitioner - Rheumatology 4981795226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone (570) 826-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jun 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2025 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients
Sharon Community Health Center PastSince May 1, 2003 Accepting new patients
Arthritis Specialists, LTD. Rheumatology PastSince Apr 28, 2000 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 1D
Winchester, VA 22601
Phone (540) 536-6200

Interoperability endpoints

  • Direct secure messaging: khicks1157739@soc.inova.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1427106624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A TEMPLE LAKE DR",
            "address_2": "SUITE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342972",
            "telephone_number": "804-524-2400",
            "fax_number": "804-526-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A TEMPLE LAKE DR",
            "address_2": "SUITE 1",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342972",
            "telephone_number": "804-524-2400",
            "fax_number": "804-526-1852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012841",
            "country_code": "US",
            "telephone_number": "540-536-6200",
            "fax_number": "540-536-6201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 N Eisenhower Ave",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504011552",
            "country_code": "US",
            "telephone_number": "641-428-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Southwood Dr",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631818",
            "country_code": "US",
            "telephone_number": "603-577-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "23433",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101238458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427106624",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khicks1157739@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khicks1157739@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 1D",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.