Individual provider Active NPI

Cynthia S Hayes, M.D.

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1225102262
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000160625 Issued in MO
Practice address
2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882
Phone
(573) 447-4400
Fax
(877) 867-3684
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000160625 MO Primary

Addresses

Primary practice location

2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882

Mailing address

2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882
Phone (573) 447-4400

Other identifiers 5

IdentifierTypeStateIssuer
7162560OtherAETNA
2252740OtherUNITED HEALTH CARE
186704OtherBLUE CROSS BLUE SHIELD
218304OtherGROUP HEALTH PLANS
559242OtherHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20050228000702 MO Practitioner - Family Practice 5496708653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2012 Cherry Hill Dr
Suite 101
Columbia, MO 65203-5882
Phone (573) 447-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000160625MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Health, LLC Family Medicine CurrentSince Jan 29, 2011 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. Past Accepting new patients

Locations

2012 Cherry Hill Dr
Ste 101
Columbia, MO 65203
Phone (573) 446-0880

1100 Club Village Dr
Ste 102
Columbia, MO 65203
Phone (573) 443-5195

Organizations & group practices 2

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 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1225102262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-447-4400",
            "fax_number": "877-867-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-447-4400",
            "fax_number": "877-867-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000160625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7162560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2252740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "186704",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLANS",
            "identifier": "218304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "559242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.