NPIMap

Individual provider Active NPI

Andrew Gerard Hickl, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1629080080
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1215 Issued in TX
Practice address
3434 Swiss Ave
Suite 430
Dallas, TX 75204-6251
Phone
(214) 828-5030
Fax
(214) 828-5031
NPI assigned
Aug 13, 2006
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1215 TX Primary

Addresses

Primary practice location

3434 Swiss Ave
Suite 430
Dallas, TX 75204-6251

Mailing address

3434 Swiss Ave
Suite 430
Dallas, TX 75204-6251
Phone (214) 828-5030

Other identifiers 2

IdentifierTypeStateIssuer
87X764OtherTXBCBS
046193101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahickl218158@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000608 TX Practitioner - Internal Medicine 9739217472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1215TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Oct 15, 2018 Accepting new patients
VRX Medical, PLLC CurrentSince Dec 6, 2020 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

Interoperability endpoints

  • Direct secure messaging: ahickl218158@direct.sw.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1629080080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SWISS AVE",
            "address_2": "SUITE 430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046251",
            "telephone_number": "214-828-5030",
            "fax_number": "214-828-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 SWISS AVE",
            "address_2": "SUITE 430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046251",
            "telephone_number": "214-828-5030",
            "fax_number": "214-828-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKL",
        "first_name": "ANDREW",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87X764",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046193101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahickl218158@direct.sw.org",
            "affiliation": "N",
            "address_1": "3417 Gaston Ave Ste 1000",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.