Michael J. Hyman, M.D., Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A79203 Issued in CA

Legal business name

MICHAEL J. HYMAN, M.D., INC.

Practice address

16311 Ventura Blvd Ste 800
Encino, CA 91436-2140

Phone

(818) 906-0635

Fax

(818) 906-7303

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Michael J Hyman, MDNPI 1487642492

Title

Owner

Phone

(818) 906-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: michaelhyman@mjhmdinc.medalliesdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J. Hyman, M.D.

  • Urology Physician
  • Carbondale, IL
  • NPI 1487642492

  CA

  Medicare reassignment NPD Authorized official
• Daniel Jeremy Cosgrove, MD

  • Urology Physician
  • Encino, CA
  • NPI 1790766491
  NPD

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1154836435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362140",
            "telephone_number": "818-906-0635",
            "fax_number": "818-906-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 800",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362140",
            "telephone_number": "818-906-0635",
            "fax_number": "818-906-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. HYMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-906-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A79203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "A79203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.