Active NPI
Charles B Hickok, MD
- Anesthesiology Physician
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0039728
- Practice address
- 8118 Good Luck Rd
Lanham, MD 20706-3574 - Phone
- (301) 952-1370
- NPI assigned
- Jan 5, 2006
- Last updated
- Jan 17, 2017
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0039728 | MD | Primary |
Addresses
Primary practice location
8118 Good Luck Rd
Lanham, MD 20706-3574
Mailing address
150 Bluff Ave
North Augusta, SC 29841-3862
Phone (800) 394-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- West Virginia University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Bestgate Rd
Annapolis, MD 21401-3648
Phone (410) 573-1110
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 70.92
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic General Hospital Corp | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Capital Care Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Anesthesiology | Current | Accepting new patients |
| Capital Care Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941
810 Bestgate Rd
Annapolis, MD 21401
Phone (410) 573-1110
810 Bestgate Rd
Ste 120
Annapolis, MD 21401
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600
14999 Health Center Dr
Ste 103
Bowie, MD 20716
Phone (301) 262-5511
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714
11370 Pembrooke Sq
Waldorf, MD 20603
Phone (301) 396-8492
Organizations & group practices 10
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.
-
dba Atlantic General Health System
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
Anesthesiology
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
dba Atlantic General Health Systems WOC Imaging Center
- Radiology Clinic/Center
- Ocean City, MD
- NPI 1043756232
-
dba AGHRx RediScripts Ocean Pines
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
-
- Anesthesiology Physician
- Rockville, MD
- NPI 1932015013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1720066277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BLUFF AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413862",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063574",
"telephone_number": "301-952-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKOK",
"first_name": "CHARLES",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0039728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.