Active NPI
Michael J Hartman, MD
- Orthopaedic Surgery of the Spine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- U1913
- Practice address
- 525 Oak Centre Dr Ste 140
San Antonio, TX 78258-3916 - Phone
- (210) 504-3650
- Fax
- (210) 519-3045
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 010508151A | IN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 010508151A | IN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | U1913 | TX | Primary |
Addresses
Primary practice location
525 Oak Centre Dr Ste 140
San Antonio, TX 78258-3916
Mailing address
1824 Dorchester CT Ste a
Goshen, IN 46526-6819
Phone (574) 534-2548
Other practice location 1
1824 Dorchester Ct Ste A
Goshen, IN 46526-6819
Phone (574) 534-2548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000600321 | Other | IN | ANTHEM BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.hartmanmd.p1@direct.goshenphysicians.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Broadway
Bangor, ME 04401-3979
Hospital & facility affiliations
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
- Down East Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 11 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010508151A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| Orthopaedic Surgical Consultants, PC | Orthopaedic Surgery | Past | Accepting new patients |
| The Medical Group Department of Goodall Hospital | Past | Accepting new patients | |
| Mousam Valley Orthopaedics PA | Orthopaedic Surgery | Past | Accepting new patients |
| Fairbanks Memorial Physician Specialities | Past | Accepting new patients |
Locations
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
Interoperability endpoints
- https://api.platform.athenahealth.com/9564/brand/1/csg/1/fhir/r4
- mhartman2758767@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386763290
-
- Orthopaedic Surgery Physician
- Sanford, ME
- NPI 1043374044
-
- Pediatric Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1528123007
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1356356869
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Machias, ME
- NPI 1528087004
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1689692196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 DORCHESTER CT STE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266819",
"telephone_number": "574-534-2548",
"fax_number": "574-534-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 OAK CENTRE DR STE 140",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583916",
"telephone_number": "210-504-3650",
"fax_number": "210-519-3045"
}
],
"practiceLocations": [
{
"address_1": "1824 Dorchester Ct Ste A",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "465266819",
"country_code": "US",
"telephone_number": "574-534-2548",
"fax_number": "574-534-3622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTMAN",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "010508151A",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IN",
"license": "010508151A",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "U1913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000600321",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.hartmanmd.p1@direct.goshenphysicians.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1824 Dorchester Ct Ste A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465266819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.