Individual provider Active NPI

Timothy J Hulst, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grand Rapids, MI
National Provider Identifier
1023053436
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001793 Issued in MI
Practice address
2144 E. Paris Ave. SE
Ste 100
Grand Rapids, MI 49546
Phone
(616) 281-0666
Fax
(616) 281-0752
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001793 MI Primary

Addresses

Primary practice location

2144 E. Paris Ave. SE
Ste 100
Grand Rapids, MI 49546

Mailing address

2144 E. Paris Ave. SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

Other identifiers 3

IdentifierTypeStateIssuer
1266510003OtherMIADMINISTAR
3506880MedicaidMI
480026384OtherMIRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thulst@weil.emadirect.md Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000086 MI Practitioner - Podiatry 1557318375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of West Michigan P L L CGroup PAC ID 2769475441, 12 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

2144 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
74.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions158
Removal of nail tissue291
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jun 12, 1996 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jun 12, 1996 Accepting new patients
Weil Foot Ankle & Orthopedic Institute Current Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

1195 Wilson Ave NW
Ste 200
Grand Rapids, MI 49534
Phone (616) 453-8277

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

Interoperability endpoints

  • Direct secure messaging: thulst40759@direct.trinity-health.org
  • Direct secure messaging: thulst@weil.emadirect.md

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.

Hospital & facility affiliations 1

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1023053436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E. PARIS AVE. SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E. PARIS AVE. SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULST",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "1266510003",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480026384",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thulst@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2144 E. Paris Ave. SE",
            "address_2": "Ste 100",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.