Active NPI
Michael R Hudson, MD
- Emergency Medicine Physician
- Nantucket, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1019653
- Practice address
- 57 Prospect St
Nantucket, MA 02554-2799 - Phone
- (508) 825-8100
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34553 | AZ | |
| Emergency Medicine Physician | 207P00000X | 1019653 | MA | Primary |
Addresses
Primary practice location
57 Prospect St
Nantucket, MA 02554-2799
Mailing address
153 Upland Rd
Cambridge, MA 02140-3626
Phone (928) 525-4184
Other practice location 1
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 774-1693
Other practice location 2
3700 W State Route 89A
Sedona, AZ 86336-4937
Phone (928) 204-4100
Other practice location 3
243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043616 | Medicaid | AZ | |
| 34593 | Other | AZ | LICENSE |
| P00457905 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100
Hospital & facility affiliations
- Nantucket Cottage Hospital
- Massachusetts Eye and Ear Infirmary -
- Brigham and Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.21 of 100
- Quality
- 70.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34553 | AZ | MD | Emergency Medicine Physician |
| 1019653 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newburyport Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Flagstaff Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Lawrence General Hospital | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Emergency Medicine | Current | Accepting new patients |
| Lawrence General Hospital | Emergency Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Lechee Health Facility | Family Medicine | Current | Accepting new patients |
| Nantucket Physicians Organization | Family Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Banner-University Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1600 W University Ave
Ste 215
Flagstaff, AZ 86001
Phone (928) 214-3930
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
70 East St
Fl 1
Methuen, MA 01844
Phone (978) 682-2310
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Organizations & group practices 15
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.
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1144544040
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
Emergency Medicine
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
Family Medicine
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1215724364
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- Emergency Medicine Physician
- Flagstaff, AZ
- NPI 1073683991
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Newburyport, MA
- NPI 1396793139
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Allergy & Immunology Physician
- Lawrence, MA
- NPI 1881272102
-
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1659399293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 UPLAND RD",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403626",
"telephone_number": "928-525-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PROSPECT ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542799",
"telephone_number": "508-825-8100"
}
],
"practiceLocations": [
{
"address_1": "1200 N Beaver St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-774-1693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 W State Route 89A",
"address_purpose": "LOCATION",
"city": "Sedona",
"state": "AZ",
"postal_code": "863364937",
"country_code": "US",
"telephone_number": "928-204-4100",
"fax_number": "928-204-4115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "243 Charles St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021143002",
"country_code": "US",
"telephone_number": "617-573-3431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "34553",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "1019653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043616",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "34593",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00457905",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.