Individual provider Active NPI

Michael S Hood, PA-C

  • Physician Assistant
  • Red Bank, NJ
National Provider Identifier
1013036409
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00500200 Issued in NJ
Practice address
65 Mechanic St Ste 105
Red Bank, NJ 07701-1852
Phone
(732) 268-7130
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002663 OH
Medical Physician Assistant 363AM0700X PA982 KY
Medical Physician Assistant 363AM0700X 016798 NY
Surgical Physician Assistant 363AS0400X 50.002663 OH
Physician Assistant 363A00000X 25MP00500200 NJ Primary

Addresses

Primary practice location

65 Mechanic St Ste 105
Red Bank, NJ 07701-1852

Mailing address

65 Mechanic St Ste 105
Red Bank, NJ 07701-1852
Phone (732) 268-7130

Other practice location 1

309 11th St
Carrollton, KY 41008-1435
Phone (502) 855-7200

Other identifiers 3

IdentifierTypeStateIssuer
7100080480MedicaidKY
300046915MedicaidIN
0068344MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.hood.1@16521.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100506000944 KY Practitioner - Physician Assistant 0446302640 Reassigns benefits to 1 organization
I20230330000345 NJ Practitioner - Physician Assistant 0446302640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132

135 Hwy 35
Eatontown, NJ 07724-1813
Phone (732) 897-7944

30 Prospect Ave
Hackensack, NJ 07601-1915

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00500200NJMDPhysician Assistant
PA982KYMDMedical Physician Assistant
50.002663OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Feb 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 23, 2023 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Feb 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

223 Executive Park
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

65 Mechanic St
Ste 105
Red Bank, NJ 07701
Phone (732) 219-7005

Interoperability endpoints

  • Direct secure messaging: michael.hood.1@16521.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1013036409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MECHANIC ST STE 105",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011852",
            "telephone_number": "732-268-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MECHANIC ST STE 105",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011852",
            "telephone_number": "732-268-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOD",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002663",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA982",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016798",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002663",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00500200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100080480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300046915",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068344",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.hood.1@16521.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "320 Thomas More Pkwy Ste 202",
            "city": "Crestview Hills",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410173456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.