Individual provider Active NPI

Joshua M Hickman, M.D.

  • Orthopaedic Surgery Physician
  • Bountiful, UT
National Provider Identifier
1821139619
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
364225-1205 Issued in UT
Practice address
1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667
Phone
(801) 295-7200
Fax
(801) 295-4930
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 364225-1205 UT Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667

Mailing address

1551 Renaissance Towne Dr
Ste. 400
Bountiful, UT 84010-7667
Phone (801) 295-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000897 UT Practitioner - Orthopedic Surgery 7214838648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Orthopaedics LLCGroup PAC ID 7113282179, 26 clinicians

Practice addresses (Care Compare)

1551 Renaissance Towne Dr
Suite 500
Bountiful, UT 84010-7678
Phone (801) 295-7200

Hospital & facility affiliations

  • Atlas Home Care Home health agency, Layton, UT, CCN 467232
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
  • Intermountain Health Layton Hospital Hospital, Layton, UT, CCN 460061

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as individual
Quality
56.98
Promoting interoperability
99
Improvement activities
40
Cost
74.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement125
Knee replacement194
Lower limb (leg) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
364225-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Orthopaedics LLC Orthopaedic Surgery CurrentSince Dec 16, 2022 Accepting new patients
Firstmed North LLC Past Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 400
Bountiful, UT 84010
Phone (801) 294-7246

1551 Renaissance Towne Dr
Ste 500
Bountiful, UT 84010

201 W Layton Pkwy
Ste 400
Layton, UT 84041
Phone 8012957200116

Interoperability endpoints

  • Direct secure messaging: joshua.hickman.1@27251.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1821139619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "STE. 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "STE. 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "364225-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.