Robb R Hicks IV, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R2J89 Issued in MO

Practice address

500 Jungermann Rd Ste 203
Saint Peters, MO 63376

Phone

(314) 680-1632

Fax

(888) 955-9047

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Robb R Hicks IV Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)
• Compass Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Charles, MO
  • NPI 1083033591
  NPD (past)
• Immediate Healthcare, Inc.

  • General Practice Physician
  • Perryville, MO
  • NPI 1932398021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1720059322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD STE 203",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762774",
            "telephone_number": "314-680-1632",
            "fax_number": "888-955-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD STE 203",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "314-680-1632",
            "fax_number": "888-955-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ROBB",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R2J89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E48148",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBB",
            "last_name": "HICKS",
            "middle_name": "R",
            "prefix": "DR.",
            "suffix": "IV",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kari Lynn Hercules, APRN FNP-C PMHNP-BC
• Heritage Wellness Clinic LLC
• Richard Lee Herman, DDS
• Meghan Hertling
• Marchell Hicks
• Ashley Elizabeth Higdon, MA, BCBA, LBA
• Lacey M Higgins, PT
• Stephanie Higgins, MD
• Jeffrey M Hill, DMD
• Laquisha Hill

• General Practice Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.