Individual provider Active NPI

Taylor Hicks, M.D.

  • Vascular Surgery Physician
  • Katy, TX
National Provider Identifier
1982853750
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
N2566 Issued in TX
Practice address
23920 Katy Fwy Ste 400
Katy, TX 77494-0882
Phone
(713) 486-8346
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036.119557 IL
Vascular Surgery Physician 2086S0129X N2566 TX Primary
Surgery Physician 208600000X 036.119557 IL

Addresses

Primary practice location

23920 Katy Fwy Ste 400
Katy, TX 77494-0882

Mailing address

23920 Katy Fwy Ste 400
Katy, TX 77494-0882
Phone (713) 486-8346

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other identifiers 2

IdentifierTypeStateIssuer
283739503MedicaidTX
036.119557MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000509 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 9830367572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

23920 Katy Fwy
Suite 400
Katy, TX 77494-0882
Phone (713) 486-8346

Hospital & facility affiliations

  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal72
Leg revascularization (restoring blood flow)42
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.119557ILMDSurgery Physician
N2566TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Feb 1, 2022 Accepting new patients
Ut Physicians Surgery CurrentSince Feb 1, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23920 Katy Fwy
Ste 400
Katy, TX 77494
Phone (281) 395-6214

5115 Avenue H
Ste 701
Rosenberg, TX 77471
Phone (713) 486-1950

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

17520 W Grand Pkwy S
Ste 280
Sugar Land, TX 77479

601 E San Antonio St
Ste 203W
Victoria, TX 77901
Phone (361) 573-6371

Interoperability endpoints

  • Direct secure messaging: thicks40333@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1982853750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940882",
            "telephone_number": "713-486-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940882",
            "telephone_number": "713-486-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.119557",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N2566",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.119557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283739503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.119557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.