Jennifer A Hickman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

M4812 Issued in TX

Practice address

7737 Southwest Fwy Ste 350
Houston, TX 77074-1804

Phone

(713) 981-4444

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer A Hickamn Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katy Dermatology, P.a.Group PAC ID 4789654815, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Katy Dermatology, P.a.

  • Specialist
  • Katy, TX
  • NPI 1346446051
  Medicare reassignment Care Compare group NPD
• Advanced Dermatologic Surgery PA

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1710028295
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881739779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741804",
            "telephone_number": "713-981-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741804",
            "telephone_number": "713-981-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HICKAMN",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nora Hickey, LSW
• Sean Michael Hickey, DO, MA
• Weston Chearis Hickey, MD
• Lauren Ashley Hickland, LCSW
• Nagaela Hickles
• Kayla Hickman
• Nikita Hickman
• Sherry Hickman, NP
• Timothy N Hickman, M.D
• Brian Thomas Hickner, MD

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.