Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285040816 Individual Practitioner Male Practitioner

Dr. Kyle Hickman , MD

Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Hickman, MD is a registered healthcare professional specializing in Pediatrics in Phoenix, AZ. Practice services are available at 1919 E THOMAS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029330002
Fax 6029336216
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 55018

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125.065978

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1023470457

Doctor of Osteopathic Medicine (D.O.)

Mckenna Tammo , PA-C

Physician Assistant

NPI 1316729288

Physician Assistant (Certified)

Carrie First , CPNP

Nurse Practitioner - Pediatrics

NPI 1588008700

Certified Pediatric Nurse Practitioner

Dr. Sanjay Shah , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1740263474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 23, 2019

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330002)

📍
Updated Business Mailing Address July 23, 2019

Registered at 3200 E CAMELBACK RD STE 250, PHOENIX, AZ 850182327 (Tel: 6029331813)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Pediatrics (License #55018 in AZ)

NPI Profile Active July 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2014

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552274)

📍
Updated Business Mailing Address July 02, 2014

Registered at 301 W HOLLYRIDGE CIR, PEORIA, IL 616147332

👤
Provider Name / Credentials Updated July 02, 2014

Recorded as KYLE HICKMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2014

Pediatrics (License #125.065978 in IL)

🟢
Initial NPI Registration & Enumeration July 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285040816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2014
Last Update: July 23, 2019
Sole Proprietor: No

Mailing Address

3200 E Camelback Rd Ste 250

Phoenix, AZ 850182327

Phone: 6029331813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.