Individual provider Active NPI

Elizabeth L Hughes, D.O.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1811943723
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015075 Issued in MI
Practice address
5015 N Royal Dr
Traverse City, MI 49684-9292
Phone
(517) 913-3930
Fax
(517) 339-8501
NPI assigned
May 25, 2006
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 5101015075 MI Primary

Addresses

Primary practice location

5015 N Royal Dr
Traverse City, MI 49684-9292

Mailing address

5015 N Royal Dr
Traverse City, MI 49684-9292
Phone (231) 935-0850

Other identifiers 12

IdentifierTypeStateIssuer
1016169OtherMIMCLAREN HEALTH ADVANTAGE
4622448MedicaidMI
0853310885OtherMIBCBS/BCN
1016169OtherMIMCLAREN HEALTH PLAN-MEDICAID
4839221MedicaidMI
0M21440034OtherMIMEDICARE PLUS BLUE
1016169OtherMIMCLAREN HEALTH PLAN-COMMERCIAL
200000002137OtherMIPHP FAMILYCARE
4893315MedicaidMI
7887575OtherMIAETNA
P00124786OtherMIRAILROAD MEDICARE
200000002137OtherMIPHP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.hughes@gti.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040826001021 MI Practitioner - Family Practice 4688649361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Front Primary Care PLLCGroup PAC ID 4183514706, 20 clinicians
Grand Traverse Internists PCGroup PAC ID 0042374977, 8 clinicians

Practice addresses (Care Compare)

4290 Copper Ridge Dr
Suite 200
Traverse City, MI 49684-7205
Phone (231) 935-8930

5015 N Royal Dr
Traverse City, MI 49684-9292
Phone (231) 935-0850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Internists, PC CurrentSince Jul 1, 2019 Accepting new patients

Locations

5015 N Royal Dr
Traverse City, MI 49684
Phone (231) 935-0850

Interoperability endpoints

  • Direct secure messaging: elizabeth.hughes@gti.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAHAA

Organizations & group practices 2

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 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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1811943723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849292",
            "telephone_number": "231-935-0850",
            "fax_number": "231-935-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849292",
            "telephone_number": "517-913-3930",
            "fax_number": "517-339-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1016169",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622448",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN",
            "identifier": "0853310885",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-MEDICAID",
            "identifier": "1016169",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4839221",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0M21440034",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
            "identifier": "1016169",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FAMILYCARE",
            "identifier": "200000002137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4893315",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7887575",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124786",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000002137",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.hughes@gti.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "direct trust email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5015 N Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496849292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.