Individual Healthcare Provider
Hirut Nicodimos
Provider's NPPES record last updated: March 8, 2013
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003058819
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Round Rock, Texas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:09 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400XOrthopaedic Surgery
Orthopaedic Surgery of the Spine
Allopathic & Osteopathic Physicians
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Taxonomy code 207XS0117X
Provider-Reported License Information
- Physician Assistant (Texas)
- PA06188
- Physician Assistant (Texas)
- PA06188
- Orthopaedic Surgery (Texas)
- PA06188
Practice Locations
Practice Location
302 University Blvd
Round Rock, Texas 78665-1032
Phone: (512) 509-0200
Record Information
- Enumeration Date
- March 26, 2009
- Provider's NPPES Record Last Updated
- March 8, 2013
- NPISignal NPPES Dataset
- August 2026
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