NPIMap

Individual provider Active NPI

Lincoln David Hiatt, MD

  • Family Medicine Physician
  • Snowflake, AZ
National Provider Identifier
1174147342
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
70370 Issued in AZ
Practice address
590 S Main St
Snowflake, AZ 85937-5228
Phone
(928) 536-7519
Fax
(928) 532-2139
NPI assigned
Jun 3, 2020
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RS2021-0546 NM
Family Medicine Physician 207Q00000X 70370 AZ Primary
Family Medicine Physician 207Q00000X 2019032609 MO

Addresses

Primary practice location

590 S Main St
Snowflake, AZ 85937-5228

Mailing address

590 S Main St
Snowflake, AZ 85937-5228
Phone (928) 536-7519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819003290 AZ Practitioner - Family Practice 9537607791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

590 S Main St
Snowflake, AZ 85937-5228
Phone (928) 536-7519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019032609MOMDFamily Medicine Physician
RS2021-0546NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates CurrentSince Sep 1, 2024 Accepting new patients
Summit Healthcare Association Current Accepting new patients
Summit Healthcare Medical Associates Family Medicine Current Accepting new patients
Summit Healthcare Medical Associates CurrentSince Sep 1, 2024 Accepting new patients
The Medina Clinic, Incorporated PastSince Jun 1, 2020 Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

590 S Main St
Snowflake, AZ 85937
Phone (520) 536-7519

Interoperability endpoints

  • Direct secure messaging: lincoln.hiatt.1@19849.direct.athenahealth.com
  • Direct secure messaging: lincolnhiatt@shrmcshma.allscriptsdirect.net

Organizations & group practices 5

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 5

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1174147342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375228",
            "telephone_number": "928-536-7519",
            "fax_number": "928-532-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375228",
            "telephone_number": "928-536-7519",
            "fax_number": "928-532-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "LINCOLN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2021-0546",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "70370",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019032609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

Verify at the official NPI Registry.