NPIMap

Individual provider Active NPI

Michael J Hushion, MD

  • Clinical Cardiac Electrophysiology Physician
  • O'Fallon, IL
National Provider Identifier
1578887063
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036.133161 Issued in IL
Practice address
Three Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Phone
(618) 233-6044
Fax
(833) 973-4218
NPI assigned
Mar 26, 2010
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036.133161 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036.133161 IL Primary

Addresses

Primary practice location

Three Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282

Mailing address

Three Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Phone (618) 233-6044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhushion214227@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710001179 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406158757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Holy Family Hospital IncGroup PAC ID 7517879349, 25 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1099
Phone (618) 233-6044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Nov 12, 2018 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Oct 20, 2020 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Nov 12, 2018 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients

Locations

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

200 Health Care Dr
#1501
Greenville, IL 62246
Phone (616) 664-1230

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

3 Saint Elizabeth Blvd
Ste 2800
O Fallon, IL 62269
Phone (618) 233-6044

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

Interoperability endpoints

  • Direct secure messaging: mhushion214227@ewd.direct.hshs.org

Organizations & group practices 6

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 6

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1578887063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THREE SAINT ELIZABETH BLVD STE 2800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-233-6044",
            "fax_number": "833-973-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THREE SAINT ELIZABETH BLVD STE 2800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-233-6044",
            "fax_number": "833-973-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSHION",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.133161",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036.133161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhushion214227@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "Three Saint Elizabeth Blvd Ste 2800",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.