Individual provider Active NPI

Michael R Hudson, MD

  • Emergency Medicine Physician
  • Nantucket, MA
National Provider Identifier
1659399293
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1019653 Issued in MA
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

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
043616MedicaidAZ
34593OtherAZLICENSE
P00457905OtherAZRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, MA3 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
I20070702000534 AZ Practitioner - Emergency Medicine 4183724297 Reassigns benefits to 1 organization
I20200522001036 TX Practitioner - Emergency Medicine 4183724297 Reassigns benefits to 1 organization
I20240807002829 MA Practitioner - Emergency Medicine 4183724297 Reassigns benefits to 8 organizations

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
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians

Practice addresses (Care Compare)

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

Hospital & facility affiliations

  • Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Merit-based Incentive Payment System (MIPS)

Final score
76.21 of 100Reported as group
Quality
70.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
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

LicenseStateTypeSpecialty
34553AZMDEmergency Medicine Physician
1019653MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 30, 2025 Accepting new patients
Flagstaff Emergency Physicians Emergency Medicine CurrentSince Mar 1, 2010 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Lawrence General Hospital CurrentSince Sep 23, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Lawrence General Hospital Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Nantucket Cottage Hospital CurrentSince Oct 12, 2024 Accepting new patients
Lechee Health Facility Family Medicine CurrentSince Apr 24, 2020 Accepting new patients
Nantucket Physicians Organization Family Medicine CurrentSince Oct 12, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Apr 24, 2020 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.

View all 15

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.