Individual provider Active NPI

Benjamin Hicks, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1891988481
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25851 Issued in OK
Practice address
4502 East 41St St
Tulsa, OK 74125-2512
Phone
(918) 660-3395
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25851 OK Primary

Addresses

Primary practice location

4502 East 41St St
Tulsa, OK 74125-2512

Mailing address

4502 East 41St St
Tulsa, OK 74125-2512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160915001557 OK Practitioner - Family Practice 0547556680 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Physicians Group Ardmore Hospital PLLCGroup PAC ID 8921542622, 22 clinicians

Practice addresses (Care Compare)

1641 Woerz Way
Ardmore, OK 73401-5071
Phone (436) 341-7800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center, Inc. CurrentSince Mar 31, 2023 Accepting new patients
Exceptional Physicians Group Ardmore Hospital PLLC CurrentSince Jun 2, 2024 Accepting new patients
Immediate Care of Oklahoma CurrentSince Jul 23, 2016 Accepting new patients
Adair County Health Center, Inc. CurrentSince Mar 31, 2023 Accepting new patients
Southern Plains Medical Center of Garvin County LLC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Nov 21, 2019 Accepting new patients
Adair County Health Center,Inc. Current Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Sep 16, 2020 Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority CurrentSince Dec 2, 2025 Accepting new patients
Immediate Care of Oklahoma LLC CurrentSince Jul 23, 2016 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Apr 2, 2022 Accepting new patients
Ehc Ardmore LLC Past Accepting new patients
Sequoyah County City of Sallisaw Hospital Authority Past Accepting new patients

Locations

1641 Woerz Way
Ardmore, OK 73401
Phone (436) 341-7800

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

3400 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 307-6900

100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1891988481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 EAST 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741252512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 EAST 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741252512",
            "telephone_number": "918-660-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.