Individual provider Active NPI

Michael J. Hyman, M.D.

  • Urology Physician
  • Carbondale, IL
National Provider Identifier
1487642492
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.144605 Issued in IL
Practice address
305 W Jackson St Ste 303
Carbondale, IL 62901-1474
Phone
(618) 351-9300
NPI assigned
Oct 12, 2005
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036.144605 IL Primary
Urology Physician 208800000X A79203 CA
Urology Physician 208800000X 208799 NY

Addresses

Primary practice location

305 W Jackson St Ste 303
Carbondale, IL 62901-1474

Mailing address

PO Box 749267
Los Angeles, CA 90074-9267
Phone (818) 843-1700

Other practice location 1

2601 W Alameda Ave
Suite 416
Burbank, CA 91505-4800
Phone (818) 843-1700

Other identifiers 1

IdentifierTypeStateIssuer
P00647444OtherCAMEDICARE RR

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
I20080528000301 CA Practitioner - Urology 5991875312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
JS Weill Medical College, Cornell University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 800
Encino, CA 91436-2140
Phone (818) 906-0635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79203CAMDUrology Physician
036.144605ILMDUrology Physician
208799NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J. Cosgrove, M.D. Inc. Urology CurrentSince Dec 3, 2017 Accepting new patients
Michael J. Hyman, M.D., Inc. Urology CurrentSince Mar 1, 2018 Accepting new patients
Malcolm Cosgrove, MD Inc Urology Current Accepting new patients
Urological Institute of Southern California LLC Current Accepting new patients
Southern Illinois Gi Specialists LLC PastSince Nov 17, 2017 Accepting new patients

Locations

16311 Ventura Blvd
Ste 800
Encino, CA 91436
Phone (818) 788-7343

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc05034_danieljcosgrove
  • FHIR API: https://fa120b5c-6699-49eb-9b43-fa51a183b3cb.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: michaelhyman@mjhmdinc.medalliesdirect.net

Organizations & group practices 5

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 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1487642492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749267",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749267",
            "telephone_number": "818-843-1700",
            "fax_number": "818-843-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W JACKSON ST STE 303",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011474",
            "telephone_number": "618-351-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 W Alameda Ave",
            "address_2": "Suite 416",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054800",
            "country_code": "US",
            "telephone_number": "818-843-1700",
            "fax_number": "818-843-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.144605",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A79203",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "208799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00647444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.