Individual provider Active NPI

Todd Charles Hull, PA-C

  • Surgical Physician Assistant
  • Sebastian, FL
National Provider Identifier
1093715674
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9110158 Issued in FL
Practice address
13000 US Highway 1 Ste 5
Sebastian, FL 32958-3773
Phone
(772) 581-5881
Fax
(772) 581-5883
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 371 MT
Surgical Physician Assistant 363AS0400X PA9110158 FL Primary

Addresses

Primary practice location

13000 US Highway 1 Ste 5
Sebastian, FL 32958-3773

Mailing address

13000 US Highway 1 Ste 5
Sebastian, FL 32958-3773
Phone (772) 581-5881

Other practice location 1

7744 Bay St Ste 2
Sebastian, FL 32958-3427
Phone (772) 589-0331

Other identifiers 4

IdentifierTypeStateIssuer
000900853OtherMTBLUECROSS BLUESHIELD
4303728MedicaidMT
021131500MedicaidFL
P00163692OtherMTRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002982 FL Practitioner - Physician Assistant 6406830702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (722) 589-3186

240 N Wickham Rd
Melbourne, FL 32935-8662
Phone (321) 541-1777

32 W Gore St
Orlando, FL 32806-1134

3745 11TH Cir
Vero Beach, FL 32960-4838

5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone (321) 843-5851

Hospital & facility affiliations

  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110158FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 26, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 26, 2017 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

13000 US Highway 1
Ste 5
Sebastian, FL 32958
Phone (772) 581-5881

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

7744 Bay St
Ste 2
Sebastian, FL 32958
Phone (772) 589-0331

1715 37th Pl
Ste 101
Vero Beach, FL 32960
Phone (321) 725-2225

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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 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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1093715674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1 STE 5",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1 STE 5",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-581-5881",
            "fax_number": "772-581-5883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7744 Bay St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583427",
            "country_code": "US",
            "telephone_number": "772-589-0331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "TODD",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "371",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000900853",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4303728",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021131500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00163692",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.