Individual provider Active NPI

Aaron B Wickley, M.D.

  • Vascular & Interventional Radiology Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1568625275
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD-15395 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-5220
NPI assigned
Jul 3, 2008
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q9554 TX
Diagnostic Radiology Physician 2085R0202X MD-15395 HI
Diagnostic Radiology Physician 2085R0202X A132302 CA
Vascular & Interventional Radiology Physician 2085R0204X Q9554 TX
Vascular & Interventional Radiology Physician 2085R0204X MD-15395 HI Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180925002570 TX Practitioner - Diagnostic Radiology 5496006728 Reassigns benefits to 2 organizations
I20191126002534 HI Practitioner - Diagnostic Radiology 5496006728 Reassigns benefits to 7 organizations
I20260506004138 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5496006728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

600 Milokai St
Kailua, HI 96734-1623
Phone (540) 224-5250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132302CAMDDiagnostic Radiology Physician
MD-15395HIMDVascular & Interventional Radiology Physician
Q9554TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Jul 31, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Carilion Medical Center CurrentSince Sep 29, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jul 6, 2021 Accepting new patients
Carilion Rockbridge Community Hospital Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone (855) 687-7273

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

5334 S Woodrow St
Ste 101
Salt Lake City, UT 84107
Phone (801) 262-8120

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1568625275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLEY",
        "first_name": "AARON",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q9554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-15395",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A132302",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "Q9554",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "HI",
            "license": "MD-15395",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.