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

Jeffrey A Hicklin, MD

Individual provider Diagnostic Radiology Physician · NPI 1083729222

Jeffrey A Hicklin, MD is a Diagnostic Radiology in Shawnee Mission, Kansas. Graduated from Medical College of Wisconsin in 1998, 28 years ago. Practices with Johnson County Imaging Center LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Kansas and Wisconsin.

Years since qualifying
28
Trained at
Medical College of Wisconsin
Licensed in
KS, WI
In the registry since
2006
Specialties on file
2
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

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-2310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 04-27554 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4257-320 (WI)

Record details

NPI number1083729222
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address8000 W 110th St, Ste 150, Overland Park, KS 66210-2338

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1998 (28 years in practice)
Group practice Johnson County Imaging Center Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Shawnee Mission