Individual provider Active NPI

Michael Edward Hillman, DO

  • Family Medicine Physician
  • Post Falls, ID
National Provider Identifier
1740867753
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0-1922 Issued in ID
Practice address
1220 E Polston Ave
Post Falls, ID 83854-6056
Phone
(208) 773-1577
NPI assigned
Mar 25, 2021
Last updated
Sep 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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 0-1922 ID Primary

Addresses

Primary practice location

1220 E Polston Ave
Post Falls, ID 83854-6056

Mailing address

1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240808000801 ID Practitioner - Family Practice 1658720776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Falls Family Medicine P.a.Group PAC ID 5991780488, 7 clinicians

Practice addresses (Care Compare)

1220 E Polston Ave
Post Falls, ID 83854-6056
Phone (208) 773-1577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0-1922IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Falls Family Medicine P.a. Family Medicine CurrentSince Sep 3, 2024 Accepting new patients

Locations

1220 E Polston Ave
Post Falls, ID 83854
Phone (208) 773-1577

Interoperability endpoints

  • Direct secure messaging: michael.hillmando.p3@direct.kootenai.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1740867753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546056",
            "telephone_number": "208-773-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546056",
            "telephone_number": "208-773-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "0-1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.