Individual provider Active NPI

Tyrelle Kate Elizabeth Hunt, M.D.

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1558985390
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A184592 Issued in CA
Practice address
1701 E. Florida Ave
Hemet, CA 92544
Phone
(951) 583-3154
NPI assigned
Jun 6, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X A184592 CA
Family Medicine Physician 207Q00000X A184592 CA Primary

Addresses

Primary practice location

1701 E. Florida Ave
Hemet, CA 92544

Mailing address

1701 E. Florida Ave
Hemet, CA 92544
Phone (951) 583-3154

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
I20231020000436 CA Practitioner - Family Practice 2163878646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manikanda Raja MD a Professional Medical CorporationGroup PAC ID 6305159591, 4 clinicians

Practice addresses (Care Compare)

1701 E Florida Ave
Hemet, CA 92544-4632
Phone (951) 658-4486

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184592CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Medical Corporation Current Accepting new patients
Manikanda Raja MD a Professional Medical Corporation CurrentSince Sep 4, 2023 Accepting new patients

Locations

1701 E Florida Ave
Hemet, CA 92544
Phone (951) 652-2228

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thunt654558@direct.hfhs.org
  • Direct secure messaging: tyrelle.hunt.p39@direct.kmsm.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1558985390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E. FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-583-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E. FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-583-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "TYRELLE",
        "middle_name": "KATE ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2023-09-20",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A184592",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A184592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.