Individual provider Active NPI

Michelle Grace Hamel, MD

  • Trauma Surgery Physician
  • San Diego, CA
National Provider Identifier
1366761595
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
A136865 Issued in CA
Practice address
7930 Frost St Ste 204
San Diego, CA 92123
Phone
(858) 565-0104
Fax
(858) 939-3213
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X A136865 CA Primary
Surgical Critical Care Physician 2086S0102X A136865 CA

Addresses

Primary practice location

7930 Frost St Ste 204
San Diego, CA 92123

Mailing address

7930 Frost St Ste 204
San Diego, CA 92123-2739
Phone (858) 565-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160721000427 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 5193965481 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136865CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 16, 2017 Accepting new patients
Abc Trauma, Inc. Trauma Surgery CurrentSince Jul 23, 2020 Accepting new patients
KND Development 59 LLC CurrentSince Aug 12, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Aug 12, 2017 Accepting new patients
Idahosurgeons Net PC Trauma Surgery PastSince Jun 27, 2018 Accepting new patients

Locations

7930 Frost St
Ste 204
San Diego, CA 92123
Phone (858) 565-0104

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

7910 Frost St
Ste 250
San Diego, CA 92123
Phone (858) 565-0104

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

Organizations & group practices 6

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 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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1366761595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 FROST ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232739",
            "telephone_number": "858-565-0104",
            "fax_number": "858-939-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FROST ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-565-0104",
            "fax_number": "858-939-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "MICHELLE",
        "middle_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A136865",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A136865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.