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KYLIE PAIGE DICKMAN MD
NPI 1881223063
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 08, 2020PECOS Enrolled
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-9108(614) 566-9110 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2020, Apr 8, 2020 (2 updates tracked since 2020).

About Kylie Paige Dickman Md NPPES

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

KYLIE PAIGE DICKMAN MD (NPI 1881223063) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1881223063
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKYLIE PAIGE DICKMANCredential: MD
Location Address111 S GRANT AVEColumbus, OH 43215-1898
Mailing Address111 S Grant AveColumbus, OH 43215-1898 · (614) 566-9108 · Fax (614) 566-9110
Phone(614) 566-9108
Fax(614) 566-9110
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1881223063 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
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.
111 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Location 1

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-6596

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Paige Dickman 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.

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

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 Kylie Dickman's NPI number?

The NPI number for Kylie Dickman is 1881223063. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Kylie Dickman located?

Kylie Dickman practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-9108.

What is Kylie Dickman's specialty?

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

Is Kylie Dickman enrolled in Medicare?

Yes. Kylie Dickman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Dickman was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.