Individual provider Active NPI

Ann-Marie M. Hyatt, M.D.

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1265691232
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11013446A Issued in IN
Practice address
7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone
(317) 516-5000
Fax
(317) 516-5146
NPI assigned
Jun 5, 2008
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.095529 OH
Dermatology Physician 207N00000X 11013446A IN Primary

Addresses

Primary practice location

7910 N Shadeland Ave
Indianapolis, IN 46250-2041

Mailing address

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AHyatt@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110805000109 IN Practitioner - Dermatology 5092849430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawes Fretzin Dermatology Group, LLCGroup PAC ID 8820990872, 20 clinicians

Practice addresses (Care Compare)

10801 N Michigan Rd
Suite 201
Zionsville, IN 46077-8171
Phone (317) 516-5000

17300 Westfield Blvd
Suite 320
Westfield, IN 46074-1363
Phone (317) 516-5000

7910 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 516-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.03 of 100Reported as group
Quality
68.51
Promoting interoperability
94
Improvement activities
40
Cost
86.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1446
Removal or shaving of skin growth301
Skin biopsy292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013446AINMDDermatology Physician
35.095529OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawes Fretzin Dermatology Group, LLC Dermatology CurrentSince Aug 1, 2012 Accepting new patients
Major Hospital Past Accepting new patients
University of Cincinnati Physicians, Inc. Past Accepting new patients
University Dermatology Consultants, Inc Dermatology Past Accepting new patients

Locations

10122 E 10th St
Ste 230
Indianapolis, IN 46229
Phone (317) 355-7356

7910 N Shadeland Ave
Indianapolis, IN 46250

8103 Clearvista Pkwy
Ste 220
Indianapolis, IN 46256
Phone (317) 588-7790

2220 W Alto Rd
Kokomo, IN 46902
Phone (317) 455-2577

Interoperability endpoints

  • Direct secure messaging: ahyatt@directaddress.net

Organizations & group practices 4

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.

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1265691232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502041",
            "telephone_number": "317-516-5000",
            "fax_number": "317-516-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "ANN-MARIE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.095529",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "11013446A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AHyatt@directaddress.net",
            "affiliation": "N",
            "address_1": "7910 N Shadeland Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.