Individual provider Active NPI

David A Hutchinson, M.D.

  • Family Medicine Physician
  • Duluth, MN
National Provider Identifier
1801886015
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32656 Issued in MN
Practice address
6351 E Superior St
Duluth, MN 55804-2545
Phone
(218) 249-4500
Fax
(218) 249-4555
NPI assigned
Oct 27, 2005
Last updated
Apr 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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 32656 MN Primary

Addresses

Primary practice location

6351 E Superior St
Duluth, MN 55804-2545

Mailing address

6351 E Superior St
Duluth, MN 55804-2545
Phone (218) 249-4500

Other identifiers 8

IdentifierTypeStateIssuer
34022400MedicaidWI
CO11OtherTRICARE WEST
01-04755OtherMEDICA
922797100MedicaidMN
CN1040901005OtherPREFERREDONE
109871P498OtherUCARE
49484HUOtherMNBCBSMN
HP22645OtherHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040503000663 MN Practitioner - Family Practice 1658283932 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32656MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Aug 23, 2010 Accepting new patients
St. Luke's Hospital of Duluth Family Medicine CurrentSince Aug 23, 2010 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Duluth Graduate Medical Education Council Inc Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
The Duluth Clinic, LTD. PastSince Jul 1, 2016 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

6351 E Superior St
Duluth, MN 55804
Phone (218) 249-4500

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

Interoperability endpoints

  • Direct secure messaging: dhutchinson237455@direct.aspirus.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1801886015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042545",
            "telephone_number": "218-249-4500",
            "fax_number": "218-249-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042545",
            "telephone_number": "218-249-4500",
            "fax_number": "218-249-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "32656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34022400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "CO11",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-04755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922797100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "CN1040901005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "109871P498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "49484HU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP22645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.