Active NPI
Patrick W Kicker, D.O.
- Pulmonary Disease Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- S4793
- Practice address
- 2000 Transmountain Rd Ste B
El Paso, TX 79911-3602 - Phone
- (915) 215-8400
- Fax
- (915) 612-9254
- NPI assigned
- Jun 22, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102203261 | VA | |
| Internal Medicine Physician | 207R00000X | S4793 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | S4793 | TX | Primary |
Addresses
Primary practice location
2000 Transmountain Rd Ste B
El Paso, TX 79911-3602
Mailing address
5130 Gateway Blvd E
Msc51015
El Paso, TX 79905-0001
Phone (915) 215-4480
Other practice location 1
5005 N Piedras St
Graduate Medical Education
El Paso, TX 79920-5001
Phone (915) 742-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Pulmonary Disease
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Trans Mountain Rd
Suite B
El Paso, TX 79911-3602
Phone (915) 215-8400
Hospital & facility affiliations
- The Hospitals of Providence Transmountain Campus
- Sierra Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4793 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Internal Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Internal Medicine | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Neurology Physician
- El Paso, TX
- NPI 1548389554
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
-
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1730475237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E",
"address_2": "MSC51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799050001",
"telephone_number": "915-215-4480",
"fax_number": "915-215-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 TRANSMOUNTAIN RD STE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799113602",
"telephone_number": "915-215-8400",
"fax_number": "915-612-9254"
}
],
"practiceLocations": [
{
"address_1": "5005 N Piedras St",
"address_2": "Graduate Medical Education",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799205001",
"country_code": "US",
"telephone_number": "915-742-2521",
"fax_number": "915-742-2653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KICKER",
"first_name": "PATRICK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2023-11-09",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102203261",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S4793",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "S4793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.