Individual provider Active NPI

Kirk Hickey, M.D.

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1427109727
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
002661 Issued in GA
Practice address
915 Calibre Woods Dr NE
Atlanta, GA 30329-3947
Phone
(404) 935-2243
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 002661 GA Primary

Addresses

Primary practice location

915 Calibre Woods Dr NE
Atlanta, GA 30329-3947

Mailing address

915 Calibre Woods Dr NE
Atlanta, GA 30329-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100730000679 OK Practitioner - Anesthesiology 8325171143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Anesthesiologists, LLCGroup PAC ID 4688701204, 49 clinicians

Practice addresses (Care Compare)

13321 N Meridian Ave
Oklahoma City, OK 73120-8316
Phone (405) 755-1080

14101 Pkwy Commons Dr
Oklahoma City, OK 73134-6012
Phone (405) 749-2700

4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Oklahoma Spine Hospital Hospital, Oklahoma City, OK, CCN 370206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002661GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Anesthesiologists, LLC Anesthesiology CurrentSince May 17, 2010 Accepting new patients

Locations

13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080

Dept 960431
Oklahoma City, OK 73196

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1427109727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CALIBRE WOODS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CALIBRE WOODS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293947",
            "telephone_number": "404-935-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "002661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.