Active NPI
Dustin Mark Hayward, M.D.
- Neurological Surgery Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD60546371
- Practice address
- 12039 NE 128TH St Ste 500
Kirkland, WA 98034 - Phone
- (425) 899-5590
- Fax
- (425) 899-5588
- NPI assigned
- Aug 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 125055496 | IL | |
| Neurological Surgery Physician | 207T00000X | MD60546371 | WA | Primary |
Addresses
Primary practice location
12039 NE 128TH St Ste 500
Kirkland, WA 98034
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455
Other practice location 1
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 297-6400
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhayward631123@wm.providencedirect.org | Direct | |
| Direct Messaging Address | dhayward631123@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of California, San Diego School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12033 NE 130TH LN
Suite 120
Kirkland, WA 98034-3052
Phone (425) 899-2160
12039 NE 128TH St
Kirkland, WA 98034-3029
12040 NE 128TH St
Kirkland, WA 98034-3013
12040 NE 128TH St Ms
Suite 55
Kirkland, WA 98034-3013
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055496 | IL | MD | Neurological Surgery Physician |
| MD60546371 | WA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Past | Accepting new patients | |
| King County Public Hospital District No. 2 | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- dhayward631123@wm.providencedirect.org
Organizations & group practices 8
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Community/Behavioral Health Agency
- Kirkland, WA
- NPI 1538213327
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1235395849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST STE 500",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-899-5590",
"fax_number": "425-899-5588"
}
],
"practiceLocations": [
{
"address_1": "1321 Colby Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982011665",
"country_code": "US",
"telephone_number": "425-297-6400",
"fax_number": "425-297-6405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYWARD",
"first_name": "DUSTIN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "125055496",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD60546371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhayward631123@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12039 NE 128th St Ste 500",
"city": "Kirkland",
"state": "WA",
"country_code": "US",
"postal_code": "98034",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhayward631123@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1321 Colby Ave",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982011665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.