Active NPI
Michael Hilliard, MD
- Emergency Medicine Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K4705
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-2460
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K4705 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3851 Roger Brooke Dr
McHe-QD (Credentials)
Fort Sam Houston, TX 78234-4501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166762802 | Medicaid | TX | |
| 8J1758 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP325 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kjcares, PLLC | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| PVD Urgent Care LLC | Current | Accepting new patients | |
| PVD Urgent Care LLC | Current | Accepting new patients | |
| East Texas Medical Center Healthcare Associates | Emergency Medicine | Past | Accepting new patients |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Past | Accepting new patients | |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Kentuckiana Emergency Physicians | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300
2450 Louisiana St
Ste 400
Houston, TX 77006
Phone (713) 446-9706
18007 Ih 10 W
San Antonio, TX 78257
Phone (210) 530-1040
Organizations & group practices 9
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.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1740748813
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1033652110
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1215456645
-
- Emergency Medicine Physician
- Tyler, TX
- NPI 1326082892
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Emergency Care Clinic/Center
- Louisville, KY
- NPI 1942362058
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1538140397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDENTIALS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K4705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166762802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8J1758",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.