NPIMap

Individual provider Active NPI

Michael Edward Hymbaugh, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1053529727
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.13268R Issued in LA
Practice address
4560 North Blvd
Ste 101
Baton Rouge, LA 70806-4043
Phone
(225) 341-5901
Fax
(225) 341-5903
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.13268R LA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD.13268R LA

Addresses

Primary practice location

4560 North Blvd
Ste 101
Baton Rouge, LA 70806-4043

Mailing address

4550 North Blvd
Ste 250
Baton Rouge, LA 70806-4013
Phone (318) 487-0138

Other identifiers 1

IdentifierTypeStateIssuer
1577278MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000556 LA Practitioner - Internal MedicinePractitioner - Endocrinology 6608953765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HIV-AIDS Alliance for Region TwoGroup PAC ID 4880981158, 18 clinicians

Practice addresses (Care Compare)

3801 N Blvd
Baton Rouge, LA 70806-3825
Phone (225) 655-6422

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.13268RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two CurrentSince Mar 24, 2025 Accepting new patients
C H Wilkinson Physician Network Internal Medicine Past Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients
Capitol City Family Health Center, Incorporated Past Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

3849 North Blvd
Baton Rouge, LA 70806
Phone (225) 342-9368

9516 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 424-1746

1735 Thomas H Delpit Dr
Baton Rouge, LA 70802
Phone (225) 424-1743

4550 North Blvd
Ste 250
Baton Rouge, LA 70806
Phone (225) 927-1269

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 5

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 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1053529727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 NORTH BLVD",
            "address_2": "STE 250",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064013",
            "telephone_number": "318-487-0138",
            "fax_number": "318-487-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "STE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-341-5901",
            "fax_number": "225-341-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.13268R",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.13268R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577278",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.