Individual provider Active NPI

Kevin O. Hicks, M.D.

  • Diagnostic Radiology Physician
  • Lynchburg, VA
National Provider Identifier
1669490413
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101234478 Issued in VA
Practice address
113 Nationwide Dr
Lynchburg, VA 24502-4272
Phone
(434) 237-4004
Fax
(434) 237-4450
NPI assigned
Jul 18, 2006
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101234478 VA Primary

Addresses

Primary practice location

113 Nationwide Dr
Lynchburg, VA 24502-4272

Mailing address

113 Nationwide Dr
Lynchburg, VA 24502-4272
Phone (434) 237-4004

Other identifiers 2

IdentifierTypeStateIssuer
7248199MedicaidVA
7248181MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, MO, IN, SC, KY, MI, IA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20100318000940 VA Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 6 organizations
I20230705002498 IL Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 2 organizations
I20230714002545 MO Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 2 organizations
I20240129003785 IN Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 1 organization
I20241216003780 SC Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 1 organization
I20251121003838 KY Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 1 organization
I20260422001471 MI Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 1 organization
I20260504007283 IA Practitioner - Diagnostic Radiology 7719046168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians
Radiology One Medical Group PCGroup PAC ID 5496247793, 41 clinicians
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Washington University Physicians in Illinois IncGroup PAC ID 4789945163, shared by 2 NPIs, 168 clinicians

Practice addresses (Care Compare)

Williamsburg, VA 23188
Phone (951) 786-0801

Lynchburg, VA 24503
Phone (918) 392-1702

1 Memorial Dr
Alton, IL 62002-6722
Phone (217) 726-8096

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1404 Cross St
Shiloh, IL 62269-2988
Phone (217) 726-8096

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

1996 Walden Dr
Gaylord, MI 49735-8241
Phone (989) 731-4111

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 935-6181

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 747-1171

4709 John Scott Dr
Lynchburg, VA 24503-1003
Phone (760) 728-1900

520 S 7TH St
Vincennes, IN 47591-1038
Phone (217) 726-8096

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

832 Quail Pointe CV
Virginia Beach, VA 23454-3156
Phone (918) 392-1702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234478VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 22, 2025 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Nov 11, 2025 Accepting new patients
Washington University Physicians in Illinois Inc Diagnostic Radiology CurrentSince Oct 22, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 22, 2025 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Boone Physician Services, LLC CurrentSince Sep 18, 2025 Accepting new patients
Radiology Consultants of Lynchburg Inc CurrentSince Jul 1, 2003 Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Elite Chiropractic Center LLC Past Accepting new patients

Locations (25 of 32)

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

12421 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 243-5417

12490 Business Center Dr
#200
Victorville, CA 92395

12490 Business Center Dr
Ste 200
Victorville, CA 92395

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

7752 Solution Ctr
Chicago, IL 60677

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

3 Ginger Creek Vlg
Glen Carbon, IL 62034
Phone (618) 792-2762

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

4133 Old Jacksonville Rd
Springfield, IL 62711

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Organizations & group practices 17

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 17

Hospital & facility affiliations 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1669490413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-237-4004",
            "fax_number": "434-237-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NATIONWIDE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024272",
            "telephone_number": "434-237-4004",
            "fax_number": "434-237-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KEVIN",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101234478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7248199",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7248181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.