Individual provider Active NPI

Gregory Edmund Hyde, M.D., PH.D.

  • Otolaryngology Physician
  • Rushville, IN
National Provider Identifier
1063498343
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01082170A Issued in IN
Practice address
110 E 13TH St
Rushville, IN 46173-2126
Phone
(765) 932-7063
Fax
(765) 932-7065
NPI assigned
Dec 19, 2005
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M0115 TX
Otolaryngology Physician 207Y00000X 01082170A IN Primary
Otolaryngic Allergy Physician 207YX0602X 01082170A IN
Otolaryngic Allergy Physician 207YX0602X M0115 TX
Sleep Medicine (Otolaryngology) Physician 207YS0012X 01082170A IN
Sleep Medicine (Otolaryngology) Physician 207YS0012X M0115 TX

Addresses

Primary practice location

110 E 13TH St
Rushville, IN 46173-2126

Mailing address

1300 N Main St
Rushville, IN 46173-1198
Phone (765) 932-4111

Other identifiers 2

IdentifierTypeStateIssuer
182063102MedicaidTX
P00234692OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GregoryHyde@rushmemorial.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730002226 IN Practitioner - Otolaryngology 7214985308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082170AINMDSleep Medicine (Otolaryngology) Physician
M0115TXMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital CurrentSince Jul 24, 2020 Accepting new patients
Rush Memorial Hospital CurrentSince Jul 24, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

Interoperability endpoints

  • Direct secure messaging: gregoryhyde@rushmemorial.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1063498343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731198",
            "telephone_number": "765-932-4111",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7063",
            "fax_number": "765-932-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "GREGORY",
        "middle_name": "EDMUND",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M0115",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01082170A",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "IN",
            "license": "01082170A",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "TX",
            "license": "M0115",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "IN",
            "license": "01082170A",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "TX",
            "license": "M0115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182063102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00234692",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GregoryHyde@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "110 E. 13th Street",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.