Active NPI
Roger G Hicks, M.D.
- Emergency Medicine Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G32049
- Practice address
- 107 Margaret LN
Grass Valley, CA 95945-5211 - Phone
- (530) 274-9623
- Fax
- (530) 274-0590
- NPI assigned
- Jul 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G32049 | CA | |
| Emergency Medicine Physician | 207P00000X | G32049 | CA | Primary |
Addresses
Primary practice location
107 Margaret LN
Grass Valley, CA 95945-5211
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- JS Weill Medical College, Cornell University, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Margaret LN
Grass Valley, CA 95945-5211
Phone (530) 247-9623
Hospital & facility affiliations
- Sierra Nevada Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32049 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sierra Nevada Memorial-Miners Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
107 Margaret Ln
Grass Valley, CA 95945
Phone (530) 247-9623
280 Sierra College Dr
Ste 105
Grass Valley, CA 95945
Phone (530) 273-3400
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
Interoperability endpoints
- roger-hicks@yubadocs.e-mdsdirect.com
- admin@yubadocs.e-mdsdirect.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1689605206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MARGARET LN",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455211",
"telephone_number": "530-274-9623",
"fax_number": "530-274-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ROGER",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G32049",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G32049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.