NPIMap

Individual provider Active NPI

Michael Christopher Hansen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Valparaiso, IN
National Provider Identifier
1053548495
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01075562A Issued in IN
Practice address
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone
(219) 464-9054
Fax
(219) 465-1749
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MT195032 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01075562A IN Primary

Addresses

Primary practice location

85 E US Highway 6
Valparaiso, IN 46383-8947

Mailing address

2022 Kelle Drive
Chesterton, IN 46304-8708
Phone (219) 364-3616

Other practice location 1

5645 Main St
Flushing, NY 11355-5045
Phone (718) 661-7329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200403002536 SD Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8628210390 Reassigns benefits to 1 organization
I20231027001774 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8628210390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Little Colorado Medical Center Hospital, Winslow, AZ, CCN 031311
  • Chinle Comprehensive Health Care Facility Hospital, Chinle, AZ, CCN 030084

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT195032PAMDInternal Medicine Physician
01075562AINMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Internal Medicine CurrentSince Sep 26, 2017 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Mar 1, 2020 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Oct 1, 2023 Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine Current Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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.

Hospital & facility affiliations 8

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053548495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DRIVE",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-364-3616",
            "fax_number": "219-364-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "219-464-9054",
            "fax_number": "219-465-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-661-7329",
            "fax_number": "718-461-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT195032",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01075562A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.