Active NPI
Kelly Marie Hamilton, M.D.
- Obstetrics & Gynecology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 390200000X
- Practice address
- 4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126 - Phone
- (989) 837-9400
- Fax
- (989) 837-9410
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 390200000X | NC | Primary |
Addresses
Primary practice location
4401 Campus Ridge Dr Ste Ll110
Midland, MI 48640-6126
Mailing address
4401 N Campus Ridge Dr
Ste B2200
Midland, MI 48640-6112
Phone (989) 837-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301099687 | Other | MI | ST LIC |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Toledo Medical College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
602 Beech St
Clare, MI 48617-1466
Phone (989) 488-5420
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Group | Past | Accepting new patients | |
| Mymichigan Medical Center Midland | Past | Accepting new patients |
Locations
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4401 N Campus Ridge Dr
Ste B2200
Midland, MI 48640
Phone (989) 837-9400
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
4401 N Campus Ridge Dr
Ste LL110
Midland, MI 48640
Phone (989) 837-9400
Interoperability endpoints
- khamilton5896@mymichiganhealth.midirect.net
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.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Internal Medicine Physician
- Midland, MI
- NPI 1629027669
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033390646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 N CAMPUS RIDGE DR",
"address_2": "STE B2200",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406112",
"telephone_number": "989-837-9400",
"fax_number": "989-837-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CAMPUS RIDGE DR STE LL110",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406126",
"telephone_number": "989-837-9400",
"fax_number": "989-837-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "390200000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LIC",
"identifier": "4301099687",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.