NPIMap

Organization Active NPI

HMG Urology PC

  • Family Medicine Physician
  • Indian Wells, CA
National Provider Identifier
1770210684
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HMG UROLOGY PC
Practice address
74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone
(760) 776-8989
NPI assigned
Aug 2, 2022
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
John Feller, MDNPI 1114927050
Title
President
Phone
(760) 275-7919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Urology Physician 208800000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129

Mailing address

PO Box 841163
Los Angeles, CA 90084-1163
Phone (760) 776-8989

Other practice location 1

21 Argonaut Ste B
Aliso Viejo, CA 92656-4150
Phone (844) 425-6391

Other practice location 2

6600 University Pkwy Ste 203
Sarasota, FL 34240-9037
Phone (760) 776-8989

Other practice location 3

1415 N Houk Rd Ste F
Spokane Valley, WA 99216-1043
Phone (888) 884-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322003425 CA Part B Supplier - Clinic/Group Practice 4284071457 Receives reassigned benefits from 2 practitioners
Practice locations: Indian Wells, CA

National Provider Directory

National Provider Directory

Locations

79440 Corporate Center Dr
Ste 102
La Quinta, CA 92253
Phone (760) 610-8640

72650 Fred Waring Dr
Ste 105
Palm Desert, CA 92260

6600 University Pkwy
Ste 203
Sarasota, FL 34240
Phone (941) 702-5595

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1770210684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841163",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900841163",
            "telephone_number": "760-776-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-776-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Argonaut Ste B",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926564150",
            "country_code": "US",
            "telephone_number": "844-425-6391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 University Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342409037",
            "country_code": "US",
            "telephone_number": "760-776-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 N Houk Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161043",
            "country_code": "US",
            "telephone_number": "888-884-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HMG UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-275-7919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.