Individual provider Active NPI

Michael Anthony Hart, DO

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Quincy, IL
National Provider Identifier
1558686709
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036130116 Issued in IL
Practice address
927 Broadway St Ste 231
Quincy, IL 62301-2749
Phone
(217) 223-8400
NPI assigned
Mar 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS014755 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036130116 IL Primary
Surgery Physician 208600000X 036130116 IL

Addresses

Primary practice location

927 Broadway St Ste 231
Quincy, IL 62301-2749

Mailing address

927 Broadway St Ste 231
Quincy, IL 62301-2749
Phone (217) 223-8400

Other practice location 1

5668 E State St
Rockford, IL 61108-2464
Phone (815) 229-7580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140108000386 IL Practitioner - Cardiac SurgeryPractitioner - General Surgery 8123256625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

Hospital & facility affiliations

  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)20
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014755PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2021 Accepting new patients
Blessing Hospital Current Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2021 Accepting new patients
Blessing Hospital Current Accepting new patients
Rockford Health Physicians CurrentSince Sep 6, 2023 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

927 Broadway St
Ste 231
Quincy, IL 62301
Phone (217) 277-8960

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

Interoperability endpoints

  • Direct secure messaging: michaelhart@blessing.allscriptsdirect.net
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: mhart102428@direct.mhemail.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1558686709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 231",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012749",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 231",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012749",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5668 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082464",
            "country_code": "US",
            "telephone_number": "815-229-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS014755",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036130116",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036130116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.