Michael D Hurst, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A8081 Issued in CA

Practice address

632 W 11TH St
Suite 119
Tracy, CA 95376-3856

Phone

(209) 832-5500

Fax

(209) 832-5505

NPI assigned

Apr 26, 2006

Last updated

Feb 6, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro de Salud de la Comunidad de San Ysidro,Inc.Group PAC ID 6901709435, 291 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mhurst18860@syhealth.direct-ci.com
• Direct secure messaging: michael.hurst.2@8236.direct.athenahealth.com

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.

• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Ysidro Health Precision Park

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1124782685
  Medicare reassignment Care Compare group NPD
• Hurst Osteopathic Medicine, a Professional Corp

  • Internal Medicine Physician
  • Tracy, CA
  • NPI 1821394875
  NPD Authorized official
• Hurst Osteopathic Medicine, a Professional Corporation

  • Internal Medicine Physician
  • Tracy, CA
  • NPI 1881990513
  Authorized official Same address or phone
• Centro de Salud de la Comunidad de San Ysidro Inc

  dba San Ysidro Health Senior Dental Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro, Inc.

  dba San Ysidro Health Otay

  • Federally Qualified Health Center (FQHC)
  • Chula Vista, CA
  • NPI 1922051812
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1205893104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W 11TH ST",
            "address_2": "SUITE 119",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763856",
            "telephone_number": "209-832-5500",
            "fax_number": "209-832-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W 11TH ST",
            "address_2": "SUITE 119",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763856",
            "telephone_number": "209-832-5500",
            "fax_number": "209-832-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8081",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A8081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Hull
• Allison Humphries
• Dajanae Hunter
• Hurst Osteopathic Medicine, a Professional Corp
• Hurst Osteopathic Medicine, a Professional Corporation
• Tasmina Hussain, MD
• Angela Huynh, RPH
• Sarah Hyatt-Shaw
• Ianeli Physical Therapy Corp
• In Balance Acupuncture

• Internal Medicine Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.