Hickham Dermatology and Med Spa LLC
NPI 1114435690 · Dermatology Physician · New Orleans, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hickham Dermatology and Med Spa LLC is a Dermatology Physician organization in New Orleans, LA (NPI 1114435690).
Provider details
- NPI number
- 1114435690
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Hickham, Owner/Md(504) 258-0244
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-23
Frequently asked questions
- What is Hickham Dermatology and Med Spa LLC's NPI number?
- Hickham Dermatology and Med Spa LLC's National Provider Identifier (NPI) is 1114435690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hickham Dermatology and Med Spa LLC?
- Hickham Dermatology and Med Spa LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Hickham Dermatology and Med Spa LLC located?
- Hickham Dermatology and Med Spa LLC's practice location on file with NPPES is 4141 Bienville St Ste 108, New Orleans, LA 70119-5149.
- What is Hickham Dermatology and Med Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Hickham Dermatology and Med Spa LLC is (504) 258-0244.
- Does Hickham Dermatology and Med Spa LLC accept Medicare?
- Hickham Dermatology and Med Spa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hickham Dermatology and Med Spa LLC?
- The authorized official listed on Hickham Dermatology and Med Spa LLC's NPPES record is Patricia Hickham, Owner/Md. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hickham Dermatology and Med Spa LLC's NPI active?
- Yes — Hickham Dermatology and Med Spa LLC's NPI (1114435690) is active in the NPPES registry as of the last update on 2018-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.