Individual provider Active NPI

Michelle Yvette Hawkins, MD, MPM

  • General Practice Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1629039888
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
99107167A Issued in IN
Practice address
2200 High St Apt 157
Cuyahoga Falls, OH 44221-2857
Phone
(234) 678-9760
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD051504L PA
Internal Medicine Physician 207R00000X 22727 WV
Internal Medicine Physician 207R00000X 0101237577 VA
General Practice Physician 208D00000X MD051504L PA
Internal Medicine Physician 207R00000X 097727 OH
General Practice Physician 208D00000X 99107167A IN Primary

Addresses

Primary practice location

2200 High St Apt 157
Cuyahoga Falls, OH 44221-2857

Mailing address

2200 High St Apt 157
Cuyahoga Falls, OH 44221-2857
Phone (234) 678-9760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050805000129 PA Practitioner - Internal Medicine 6507895059 Reassigns benefits to 1 organization
I20220411000582 IN Practitioner - Internal Medicine 6507895059
I20251105001867 OH Practitioner - Internal Medicine 6507895059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
097727OHMDInternal Medicine Physician
MD051504LPAMDInternal Medicine Physician
99107167AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC General Practice CurrentSince Oct 1, 2025 Accepting new patients
Pennsylvania Department of Public Welfare Past Accepting new patients
Kelly Medical Services Corporation LLC Internal Medicine Past Accepting new patients
Inpatient Consultants of Pennsylvania PC Internal Medicine Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Wetzel County Hospital Association Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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 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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1629039888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HIGH ST APT 157",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212857",
            "telephone_number": "234-678-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGH ST APT 157",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212857",
            "telephone_number": "234-678-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "MICHELLE",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "MD, MPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051504L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "22727",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237577",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD051504L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "097727",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "99107167A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.