DR. HAROLD MELVIN II ICKES – Internal Medicine Physician, NPI 1154779437

DR. HAROLD MELVIN II ICKES is a healthcare provider. based in Tallmadge, Ohio. specializing in INTERNAL MEDICINE. They hold a License No. 57.028018 (OH). The NPI Number for DR. HAROLD MELVIN II ICKES is 1154779437

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAROLD MELVIN II ICKES
NPI
1154779437
Phone
(330) 388-8302
Address
363 EASTWOOD AVE
Enumeration Date
27 May 2016
Last Update Date
27 May 2016

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3303446000
Graduation Year
2008 (18 years ago)
PAC ID
4183954670
Group Practice PAC ID
3779749197
Professional Enrollment ID
I20190926000305
Address ID
OH443072432AK1XXXXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. HAROLD MELVIN II ICKES

  • 363, Eastwood Avenue, Six Corners, Tallmadge, Summit County, Ohio, 44278, United States

    TALLMADGE, OH 442783124

    Phone: (330) 388-8302

    Type: Mailing

  • St. Vincent Charity Medical Center, 2351, East 22nd Street, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44115, United States

    SUITE 338W

    CLEVELAND, OH 441153111

    Phone: (216) 861-6200

    Fax: (216) 363-7490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190926000305IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes200196$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8178$0
View full utilization report →

Insurance plans in this area (ZIP 44278)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779749197View full group profile
NameSpecialtyState
-IN
Hospitalist, Internal MedicineOH
Internal MedicineCA
-OH
Nurse PractitionerOH
Internal Medicine, Hospitalist, Internal MedicineWA
Internal MedicineMN
Hospitalist, Internal MedicineOH
H O S P I T A L I S TOH
Internal MedicineOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. HAROLD MELVIN II ICKES?
DR. HAROLD MELVIN II ICKES — NPI 1154779437 — is the standard way to identify this listing.
Does CMS list DR. HAROLD MELVIN II ICKES as active?
Yes — DR. HAROLD MELVIN II ICKES is active in the NPI listing used on this page.
What is DR. HAROLD MELVIN II ICKES best known for clinically?
Directory data describes DR. HAROLD MELVIN II ICKES with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. HAROLD MELVIN II ICKES list a practice location?
Patients near Tallmadge, Ohio may find DR. HAROLD MELVIN II ICKES in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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