Matthew P Hinderaker, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

8895752-1205 Issued in UT

Practice address

759 Chestnut St
Springfield, MA 01199-1619

Phone

(413) 794-3233

Fax

(413) 794-9060

NPI assigned

Apr 7, 2010

Last updated

Aug 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Salt Lake

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1043915523

  Corporate Director

  CMS ownership
• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Davis Psych Unit

  • Psychiatric Hospital Unit
  • Layton, UT
  • NPI 1194420695

  Corporate Director

  CMS ownership
• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Davis

  • General Acute Care Hospital
  • Layton, UT
  • NPI 1346945839

  Corporate Director

  CMS ownership
• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Jordan Valley Rehab Unit

  • Rehabilitation Hospital Unit
  • West Jordan, UT
  • NPI 1508561010

  Corporate Director

  CMS ownership
• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - West Valley Psych Unit

  • Psychiatric Hospital Unit
  • West Valley City, UT
  • NPI 1518662014

  Corporate Director

  CMS ownership
• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Jordan Valley

  • General Acute Care Hospital
  • West Jordan, UT
  • NPI 1801591391

  Corporate Director

  CMS ownership

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.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  Medicare reassignment NPD
• Associates for Inpatient Medicine, LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1750488433
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1063737666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-3233",
            "fax_number": "413-794-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERAKER",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "250647",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "8895752-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher William Hinch, MA
• Judith Hinchey, CRNA
• Kevin Thomas Hinchey, MD
• Ann Hinckley, MSN, RN, APRN FNP-BC
• Britney Hinckley
• Latonya Velyn Hinds
• Adrienne D. Hines, CNM
• Erisa Hines
• Kimberly Susan Hines
• Barry Zev Hirsch, MD

• Emergency Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.