Active NPI
Thomas Anderson Hughes, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- South Bend, IN
National Provider Identifier
1790850964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01037310
- Practice address
- 707 North Michigan Street
Suite 501
South Bend, IN 46601 - Phone
- (574) 237-0644
- Fax
- (574) 234-6986
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01037310 | IN | Primary |
Addresses
Primary practice location
707 North Michigan Street
Suite 501
South Bend, IN 46601
Mailing address
707 No Michigan Street
Suite 501
South Bend, IN 46601
Phone (574) 237-0644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037310 | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavour Diagnostics Inc | Past | Accepting new patients |
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.
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- NPI 1366678682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790850964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 NO MICHIGAN STREET",
"address_2": "SUITE 501",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46601",
"telephone_number": "574-237-0644",
"fax_number": "574-234-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 NORTH MICHIGAN STREET",
"address_2": "SUITE 501",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "46601",
"telephone_number": "574-237-0644",
"fax_number": "574-234-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "THOMAS",
"middle_name": "ANDERSON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01037310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.