Individual provider Active NPI

Justin Hinzman, M.D.

  • Obstetrics & Gynecology Physician
  • Moline, IL
National Provider Identifier
1770870222
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036137603 Issued in IL
Practice address
600 John Deere Rd Ste 200
Moline, IL 61265-6812
Phone
(309) 779-4270
Fax
(309) 779-4305
NPI assigned
Jul 6, 2011
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036137603 IL Primary

Addresses

Primary practice location

600 John Deere Rd Ste 200
Moline, IL 61265-6812

Mailing address

600 John Deere Rd Ste 200
Moline, IL 61265-6812
Phone (309) 779-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150623000835 IL Practitioner - Obstetrics/Gynecology 7214180025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Arts Associates, LTD.Group PAC ID 4385549377, 19 clinicians

Practice addresses (Care Compare)

600 John Deere Rd
Suite 102
Moline, IL 61265-6812
Phone (309) 779-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.74 of 100Reported as group
Quality
78.19
Promoting interoperability
0
Improvement activities
40
Cost
80.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036137603ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Associates, LTD. Obstetrics & Gynecology CurrentSince Aug 1, 2015 Accepting new patients

Locations

600 John Deere Rd
Ste 102
Moline, IL 61265
Phone (309) 779-4200

600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200

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 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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1770870222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE RD STE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656812",
            "telephone_number": "309-779-4270",
            "fax_number": "309-779-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE RD STE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656812",
            "telephone_number": "309-779-4270",
            "fax_number": "309-779-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZMAN",
        "first_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036137603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.