Active NPI
Kevin O. Hicks, M.D.
- Diagnostic Radiology Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101234478
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7248199 | Medicaid | VA | |
| 7248181 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IL, MO, IN, SC, KY, MI, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
- Washington University Physicians in Illinois Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234478 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Radiologists, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Washington University Physicians in Illinois Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Sol Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Radiology One Medical Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Radiology Consultants of Lynchburg Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1063469252
IN, MO, SC, VA
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Diagnostic Radiology Physician
- Traverse City, MI
- NPI 1851243901
-
- Radiology Clinic/Center
- Lynchburg, VA
- NPI 1922037043
-
- Diagnostic Radiology Physician
- Alton, IL
- NPI 1336037076
VA
-
- Multi-Specialty Clinic/Center
- O'Fallon, IL
- NPI 1477076263
-
dba Jackson County Regional Health Center
- Critical Access Hospital
- Maquoketa, IA
- NPI 1912960758
-
- Radiology Clinic/Center
- Lynchburg, VA
- NPI 1578594412
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.