Active NPI
Hillsboro Primary Care
- Family Medicine Physician
- Hillsboro, MO
National Provider Identifier
1265238497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HILLSBORO PRIMARY CARE
- Practice address
- 10279 Business 21
Hillsboro, MO 63050-3598 - Phone
- (636) 789-3941
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lucas Null
- Title
- Business Manager
- Phone
- (636) 789-3941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
10279 Business 21
Hillsboro, MO 63050-3598
Mailing address
10279 Business 21
Hillsboro, MO 63050-3598
Phone (636) 789-3941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1265238497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10279 BUSINESS 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630503598",
"telephone_number": "636-789-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10279 BUSINESS 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630503598",
"telephone_number": "636-789-3941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSBORO PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A",
"authorized_official_last_name": "NULL",
"authorized_official_first_name": "LUCAS",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "636-789-3941",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.