KELLY BICKLE, MD
NPI 1255845657
Dermatology - Dermatopathology in Santa Monica, CA
About Kelly Bickle, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BICKLE, MD (NPI 1255845657) is a healthcare organization registered as a dermatopathology in Santa Monica, California and active in the NPI registry since November 2017. The organization lists Kelly Bickle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Bickle, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Bickle, MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Bickle MD Inc's NPI number?
The NPI number for Kelly Bickle MD Inc is 1255845657. It was assigned to this organization in the NPPES registry on November 21, 2017. The provider is doing business as Kelly Bickle, MD.
Where is Kelly Bickle MD Inc located?
Kelly Bickle MD Inc is located at 1244 7th St Ste 204, Santa Monica, CA 90401. The listed phone number is (310) 878-4590.
What is Kelly Bickle MD Inc's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Kelly Bickle MD Inc enrolled in Medicare?
Yes. Kelly Bickle MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kelly Bickle MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Kelly Bickle MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Bickle MD Inc was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Kelly Bickle, Md · NPI 1255845657
Dermatopathology organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since November 21, 2017.
## Identity
- **NPI:** 1255845657 (Entity type: Organization)
- **Enumerated:** November 21, 2017
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Legal business name:** Kelly Bickle Md Inc
- **Organization subpart:** No
- **Authorized official:** Kelly Bickle, OWNER
## Practice location
- **Address:** 1244 7TH ST STE 204, Santa Monica, CA 90401-1648
- **Phone:** (310) 878-4590 · **Fax:** (424) 214-3301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1255845657) · Data from the CMS NPPES public registry.