Max Todd Hyatt, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

416 Issued in NC

Practice address

1680 Westbrook Ave
Burlington, NC 27215-9700

Phone

(336) 375-6990

Fax

(339) 375-0361

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moses Cone Affiliated Physicians, Inc.Group PAC ID 3779635396, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhyatt9999@direct.conehealth.com

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.

• Moses Cone Affiliated Physicians, Inc

  dba Greensboro Gynecology Associates

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
  • NPI 1346474103
  Medicare reassignment Care Compare group NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Gynecology Center of Greensboro

  • Gynecology Physician
  • Greensboro, NC
  • NPI 1417610627
  NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Triad Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Greensboro, NC
  • NPI 1952614620
  NPD
• Allergy and Asthma Center of North Carolina, PA

  • Allergy Physician
  • High Point, NC
  • NPI 1235298589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1417052143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055633",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159700",
            "telephone_number": "336-375-6990",
            "fax_number": "339-375-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2706 St Jude St",
            "address_2": "The Triad Foot Center PA",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274053670",
            "country_code": "US",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Church St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274055633",
            "country_code": "US",
            "telephone_number": "336-375-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "MAX",
        "middle_name": "TODD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890803U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0803U",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "95363",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhyatt9999@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 N Church St Ste 101",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274055633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhyatt9999@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1680 Westbrook Ave",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272159700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Misty Dawn Humphries, LCHMC-A, NCC
• Madison Hunt
• Jason David Huprich, DPT
• Amanda Hutcherson, RN
• Renee Denise Hux
• Rachel Hazelwood Hyler, NP-C
• Sarah Lauren Ickes, COTA/L
• Gabriel John Illes III, DPT, PT
• Elise Helen Immordino-Sanderson, MS, CCC-SLP
• Impress Unlimited, LLC

• Podiatrist in Burlington, NC
• Providers in Burlington, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.

Verify at the official NPI Registry.