Organization Active NPI

Hastings Internal Medicine PLC

  • Internal Medicine Physician
  • Hastings, MI
National Provider Identifier
1598968729
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40301075340 Issued in MI
Legal business name
HASTINGS INTERNAL MEDICINE PLC
Practice address
225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676
Phone
(269) 948-0078
Fax
(269) 948-0099
NPI assigned
Jun 6, 2007
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
David B Parker, MDNPI 1073548038
Title
Owner
Phone
(269) 948-0078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40301075340 MI Primary

Addresses

Primary practice location

225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676

Mailing address

225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676
Phone (269) 948-0078

Other identifiers 2

IdentifierTypeStateIssuer
104576434MedicaidMI
0600810122OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001432 MI Part B Supplier - Clinic/Group Practice 8729970108 Receives reassigned benefits from 6 practitioners
Practice locations: Hastings, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1020292Hastings Internal Medicine225 S M 37 Highway Suite 1, Hastings, MI 49058Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

225 S M 37 Hwy
#1
Hastings, MI 49058
Phone (269) 948-0078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFDAA

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1598968729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S M 37 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589676",
            "telephone_number": "269-948-0078",
            "fax_number": "269-948-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S M 37 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589676",
            "telephone_number": "269-948-0078",
            "fax_number": "269-948-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS INTERNAL MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-948-0078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "40301075340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104576434",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0600810122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.