DR. TIMOTHY DAVID HICKS M.D.
NPI 1386006823
Pediatrics - Pediatric Pulmonology in Orange, CA

Active since March 23, 2016PECOS Enrolled
1201 W LA VETA AVE, ORANGE, CA 92868(887) 702-4628(855) 246-2329 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2019, Mar 23, 2016 (2 updates tracked since 2016).

About Dr. Timothy David Hicks M.d. NPPES

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

DR. TIMOTHY DAVID HICKS M.D. (NPI 1386006823) is an individual pediatric pulmonology provider in Orange, California, licensed in California (A157165) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386006823
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. TIMOTHY DAVID HICKSCredential: M.D.
Location Address1201 W LA VETA AVEOrange, CA 92868-4203
Mailing Address1201 W La Veta AveOrange, CA 92868-4203 · (887) 702-4628 · Fax (855) 246-2329
Fax(855) 246-2329
Sole ProprietorNo
Enumeration DateMarch 23, 2016
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1386006823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in CA · A157165
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License A157165 (CA)
1201 W LA VETA AVE, Orange, CA 92868

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy David Hicks M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Hicks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
800 N MAIN ST
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker
1201 W LA VETA AVE
ORANGE, CA 92868
Neurological Surgery
1201 W LA VETA AVE
ORANGE, CA 92868
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Student in an Organized Health Care Education/Training Program
1201 W LA VETA AVE
ORANGE, CA 92868
Psychologist (Clinical Child & Adolescent)
1201 W LA VETA AVE, 503
ORANGE, CA 92868
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE, CHILDREN'S HOSPITAL OF ORANGE COUNTY, NEUROLOGY
ORANGE, CA 92868

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 Timothy Hicks's NPI number?

The NPI number for Timothy Hicks is 1386006823. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Timothy Hicks located?

Timothy Hicks practices at 1201 W La Veta Ave, Orange, CA 92868. The listed phone number is (887) 702-4628.

What is Timothy Hicks's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Timothy Hicks enrolled in Medicare?

Yes. Timothy Hicks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Hicks reassigns Medicare benefits to 2 organizations: Uc Regents Uci Dept Of Pediatrics (Orange, CA) and University Of California Irvine (Santa Ana, CA). Each 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 Timothy Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Hicks was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.