Individual provider Active NPI

Michael Kevin Hill, MD

  • Infectious Disease Physician
  • Covington, LA
National Provider Identifier
1407818917
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
016632 Issued in LA
Practice address
56 Starbrush Cir
Covington, LA 70433-7208
Phone
(985) 871-0095
Fax
(985) 871-0529
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 016632 LA Primary

Addresses

Primary practice location

56 Starbrush Cir
Covington, LA 70433-7208

Mailing address

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 726-2655

Other identifiers 2

IdentifierTypeStateIssuer
1907472MedicaidLA
P00310299OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050929000850 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820997075 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16632LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Dec 27, 2015 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Dec 27, 2015 Accepting new patients

Locations

80 Gardenia Dr
Ste B
Covington, LA 70433
Phone (985) 871-5900

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

56 Starbrush Cir
Covington, LA 70433
Phone (985) 246-5670

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1407818917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-726-2655",
            "fax_number": "985-643-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-871-0095",
            "fax_number": "985-871-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "016632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907472",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00310299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.