Individual provider Active NPI

Mallory C Hatfield, MD

  • Cardiovascular Disease Physician
  • Hyannis, MA
National Provider Identifier
1790737013
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
82138 Issued in MA
Practice address
46 North St
Suite 6
Hyannis, MA 02601-3845
Phone
(508) 778-4888
Fax
(508) 778-4887
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 82138 MA Primary

Addresses

Primary practice location

46 North St
Suite 6
Hyannis, MA 02601-3845

Mailing address

46 North St
Suite 6
Hyannis, MA 02601-3845
Phone (508) 778-4888

Other identifiers 8

IdentifierTypeStateIssuer
2272937OtherMAAETNA
2500635OtherMAUNITED HEALTH CARE
792597OtherMATUFTS HEALTH PLAN
0664672OtherMACIGNA
J19435OtherMABLUE SHIELD
060050660OtherMARR MEDICARE
300398OtherMAHARVARD PILGRIM HEALTH
3143945MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060524000178 MA Practitioner - Cardiovascular Disease (Cardiology) 1153332531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46 N St
Suite 6
Hyannis, MA 02601-3845
Phone (508) 778-4888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82138MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hatfield Cardiology LLC Cardiovascular Disease CurrentSince Dec 15, 2010 Accepting new patients
The Cardiovascular Specialists LLC Past Accepting new patients
M Hatfield Cardiology Cardiovascular Disease PastSince Dec 15, 2010 Accepting new patients

Locations

46 North St
Ste 6
Hyannis, MA 02601
Phone (508) 778-4888

46 North St
Hyannis, MA 02601
Phone (508) 771-0006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJCBBA

Organizations & group practices 3

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1790737013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "address_2": "SUITE 6",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-778-4888",
            "fax_number": "508-778-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "address_2": "SUITE 6",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-778-4888",
            "fax_number": "508-778-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MALLORY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "82138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2272937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2500635",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "792597",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0664672",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J19435",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060050660",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "300398",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143945",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.