Jeffrey Michael Hick, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

A110433 Issued in CA

Practice address

828 Manhattan Beach Blvd
Manhattan Beach, CA 90266-4931

Phone

(310) 545-2900

NPI assigned

Nov 11, 2008

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aesthetic Dermatology and Laser Center Medical Group IncGroup PAC ID 3779674601, 3 clinicians

Malcolm Ke MD a Professional CorporationGroup PAC ID 6901934009, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.9

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.

• Aesthetic Dermatology & Laser Center Medical Group Inc

  dba Edward M. Kramer M.D.

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1255473815

  Procedural Dermatology

  Medicare reassignment Care Compare group NPD
• Malcolm Ke, M.D., a Professional Corporation

  dba Clear Dermatology

  • Dermatology Physician
  • Torrance, CA
  • NPI 1225350069
  Medicare reassignment Care Compare group NPD
• Dr. a.R. Bhupathy, Inc

  • Dermatology Physician
  • Loma Linda, CA
  • NPI 1902907108
  NPD
• Aesthetic Dermatology Laser Center

  dba Edward M. Kramer, M.D.

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1477696276
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1972757359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664931",
            "telephone_number": "310-545-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664931",
            "telephone_number": "310-545-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A110433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hengameh Jannati DDS, Inc.
• Tiffany Kathleen Herbert, PH.D.
• Sandra Hernandez
• Vanessa Hernandez, MD
• Julia Herrera
• Audrey Hill-Lindsay, PH.D.
• Alicia Hill, LAC
• Victoria Hirst, FNP-BC, RN
• HMR Life Center LLC
• Alice Ho, PHARMD.

• Procedural Dermatology Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.