DR. KYLE JOSEPH HICKEY MD
NPI 1053981357
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Kyle Hickey's NPI number?

The NPI number for Kyle Hickey is 1053981357. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Q: What is Kyle Hickey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Hickey was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2021PECOS Enrolled

1441 N BECKLEY AVE, DALLAS, TX 75203(214) 947-2285 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Aug 10, 2023, Nov 14, 2022 and 1 more (4 updates tracked since 2021).

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About Dr. Kyle Joseph Hickey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE JOSEPH HICKEY MD (NPI 1053981357) is an individual student in an organized health care education/training program in Dallas, Texas, licensed in Texas (BP10094203) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053981357

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KYLE JOSEPH HICKEYCredential: MD

Location Address1441 N BECKLEY AVEDallas, TX 75203-1201

Mailing Address1441 N Beckley AveDallas, TX 75203-1201 · (214) 947-2285

Phone(214) 947-2285

Sole ProprietorNo

Enumeration DateJune 29, 2021

Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1053981357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Licenses✔ Licensed in TX · BP10094203✔ Licensed in OK · 39659

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1441 N BECKLEY AVE, Dallas, TX 75203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Joseph Hickey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM COOK LANGMADE MD

Internal Medicine