Individual provider Active NPI

Cody Hull, DO

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1831594126
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16720 Issued in CA
Practice address
1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418
Phone
(760) 323-6511
NPI assigned
Oct 29, 2014
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16720 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418

Mailing address

1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418
Phone (760) 323-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250205000886 CA Practitioner - Internal Medicine 5698205722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16720CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Internal Medicine CurrentSince Jan 20, 2025 Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1831594126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 109",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624418",
            "telephone_number": "760-323-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 109",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624418",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "CODY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "16720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.