NPIMap

Individual provider Active NPI

John W. Hawkins, MD

  • Interventional Cardiology Physician
  • Springfield, MO
National Provider Identifier
1710076708
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R3M00 Issued in MO
Practice address
2115 S Fremont Ave
Suite 4300
Springfield, MO 65804-2239
Phone
(417) 820-3911
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R3M00 MO
Interventional Cardiology Physician 207RI0011X R3M00 MO Primary

Addresses

Primary practice location

2115 S Fremont Ave
Suite 4300
Springfield, MO 65804-2239

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
205170301MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000839 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2365346285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Practice addresses (Care Compare)

1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112

Hospital & facility affiliations

  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3M00MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association CurrentSince Jan 19, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 4, 2009 Accepting new patients
Skaggs Community Hospital Association Interventional Cardiology CurrentSince Jan 19, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Hospital Aurora PastSince Jan 1, 1990 Accepting new patients

Locations

500 Porter Ave
#A
Aurora, MO 65605
Phone (417) 678-3507

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

Interoperability endpoints

  • Direct secure messaging: jhawkins897@directb.mercy.net

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1710076708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE",
            "address_2": "SUITE 4300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042239",
            "telephone_number": "417-820-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075272",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R3M00",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "R3M00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205170301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.