Individual provider Active NPI

Matthew Joseph Hummel, M.D.

  • Family Medicine Physician
  • Fountain Hills, AZ
National Provider Identifier
1780644526
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27179 Issued in AZ
Practice address
16838 E Palisades Blvd
C153
Fountain Hills, AZ 85268-3786
Phone
(480) 816-3131
Fax
(480) 816-3136
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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 27179 AZ Primary

Addresses

Primary practice location

16838 E Palisades Blvd
C153
Fountain Hills, AZ 85268-3786

Mailing address

16838 E Palisades Blvd
C153
Fountain Hills, AZ 85268-3786
Phone (480) 816-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100714000270 AZ Practitioner - Family Practice 8022030543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13430 N Saguaro Blvd
Suite 100
Fountain Hills, AZ 85268-3710

13430 N Saguaro Blvd
Suite 100And101
Fountain Hills, AZ 85268-3728
Phone (480) 445-9199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as individual
Quality
85.55
Promoting interoperability
100
Improvement activities
40
Cost
62.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27179AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hummel Family Medicine, PLLC CurrentSince May 31, 2017 Accepting new patients

Locations

16838 E Palisades Blvd
Ste C152
Fountain Hills, AZ 85268
Phone (480) 445-9199

13430 N Saguaro Blvd
Ste 100101
Fountain Hls, AZ 85268
Phone (480) 445-9199

16838 E Palisades Blvd
Ste C153
Fountain Hls, AZ 85268
Phone (480) 445-9199

Interoperability endpoints

  • Direct secure messaging: matthew.hummel.1@16029.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1780644526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.