Individual provider Active NPI

Emily Kathleen Hurst, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Wyandotte, MI
National Provider Identifier
1215024765
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
5101016559 Issued in MI
Practice address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone
(734) 246-6000
Fax
(313) 876-1305
NPI assigned
Oct 6, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016559 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5101016559 MI Primary

Addresses

Primary practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 876-4806

Other practice location 1

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5645

Other names 1

  • Ms. Emily Kathleen Flom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080722000731 MI Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 0749353894 Reassigns benefits to 5 organizations
I20141031001609 SD Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 0749353894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Geriatric Medicine, Hospice/Palliative Care, Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608

6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Heath System Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Sep 1, 2023 Accepting new patients
Fadi Salloum MD PC Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2014 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Internal Medicine Current Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Apr 10, 2023 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
Henry Ford Wyandotte Hospital Critical Care Medicine CurrentSince Apr 10, 2023 Accepting new patients
Avera McKennan Current Accepting new patients
W.a. Foote Memorial Hospital Internal Medicine CurrentSince Oct 7, 2024 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
W. a. Foote Memorial Hospital Internal Medicine Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Sep 1, 2023 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2014 Accepting new patients
Avera McKennan Critical Care Medicine CurrentSince Sep 1, 2014 Accepting new patients
Henry Ford Health System Past Accepting new patients
Hospital Health Care Inc. Internal Medicine Past Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

Interoperability endpoints

  • Direct secure messaging: ehurst1029116@direct.unitypoint.org
  • Direct secure messaging: ehurst320445@direct.centracare.com
  • Direct secure messaging: ehurst58171@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
The Orchards at Canterbury on the LakeWaterford, MI, CCN 235555 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 3, 2024
Dec 18, 2024

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 21

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.

View all 21

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1215024765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-876-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924668",
            "telephone_number": "734-246-6000",
            "fax_number": "313-876-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "248-338-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "EMILY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016559",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5101016559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FLOM",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.