NPIMap

Individual provider Active NPI

Austin Hake, M.D.

  • Neurology Physician
  • Quincy, IL
National Provider Identifier
1003077389
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036.129615 Issued in IL
Practice address
1118 Hampshire St
Quincy, IL 62301-3027
Phone
(217) 222-6550
NPI assigned
Jun 19, 2008
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036.129615 IL Primary

Addresses

Primary practice location

1118 Hampshire St
Quincy, IL 62301-3027

Mailing address

1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121116000041 IL Practitioner - Neurology 5890946065 Reassigns benefits to 1 organization
I20170622000488 MO Practitioner - Neurology 5890946065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pike County Memorial HospitalGroup PAC ID 8123015518, shared by 6 NPIs, 31 clinicians

Practice addresses (Care Compare)

1015 W Adams St
Bowling Green, MO 63334-1974
Phone (573) 324-5300

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

2305 Georgia St
Louisiana, MO 63353-2559

2305 W Georgia
Louisiana, MO 63353-2559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.129615ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Apr 23, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Apr 24, 2017 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Apr 23, 2020 Accepting new patients
Pike County Memorial Hospital CurrentSince Apr 24, 2017 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital CurrentSince Jul 18, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jul 1, 2013 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jul 1, 2013 Accepting new patients

Locations

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

1118 Hampshire St
Quincy, IL 62301

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

Interoperability endpoints

  • Direct secure messaging: ahake198124@direct.unitypoint.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/89787a16-eaf7-491e-bab0-d804157796a5/
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1003077389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013027",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013027",
            "telephone_number": "217-222-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.129615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.