Active NPI
Christopher Jonathan Hummel, DO
- Emergency Medicine Physician
- Muskegon, MI
National Provider Identifier
1003856972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101015001
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49444-1849 - Phone
- (231) 739-9341
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101015001 | MI | Primary |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
PO Box 673397
Detroit, MI 48267-3397
Phone (866) 898-7139
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114735110 | Medicaid | MI | |
| CH015001 | Other | BCBS | |
| 114722579 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23330 Hwy 59 N
Kingwood, TX 77339-4471
Phone (832) 777-6165
Hospital & facility affiliations
- Elite Hospital Kingwood
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015001 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingwood Physician Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Texas Emergency Room Services PA | Emergency Medicine | Past | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients | |
| Spectrum Health Hospitals | Past | Accepting new patients |
Locations
23330 Highway 59 N
Kingwood, TX 77339
Phone (832) 777-6165
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Kingwood, TX
- NPI 1871210138
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1598712390
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1992843387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1346753118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1003856972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 673397",
"city": "DETROIT",
"state": "MI",
"postal_code": "482673397",
"telephone_number": "866-898-7139",
"fax_number": "616-975-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441849",
"telephone_number": "231-739-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "CHRISTOPHER",
"middle_name": "JONATHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101015001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114735110",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CH015001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114722579",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.