Individual provider Active NPI

Kelly Hill, MD

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1649287962
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KH054479 Issued in MI
Practice address
4009 Orchard Dr
Midland, MI 48640-6122
Phone
(989) 839-3520
Fax
(989) 839-1859
NPI assigned
Aug 1, 2006
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KH054479 MI Primary

Addresses

Primary practice location

4009 Orchard Dr
Midland, MI 48640-6122

Mailing address

4009 Orchard Dr
Midland, MI 48640-6122
Phone (989) 839-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KH054479MIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: khill8266@mymichiganhealth.midirect.net

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1649287962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406122",
            "telephone_number": "989-839-3520",
            "fax_number": "989-839-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 ORCHARD DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406122",
            "telephone_number": "989-839-3520",
            "fax_number": "989-839-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KH054479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.