Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Hickman, MD

Individual provider Anesthesiology Physician · NPI 1942731575

Dr. Justin Hickman, MD is an Anesthesiology in Roanoke, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2017, 9 years ago. Practices with Anesthesia Medical Group of Santa Maria Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5115 Bernard Dr Ste 201
Roanoke, VA 24018-4367
Phone: (540) 345-0289
Fax: (540) 345-9569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101272390 (VA)

Record details

NPI number1942731575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Anesthesia Medical Group Of Santa Maria Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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