Kyle J Hazelwood, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301511405 Issued in MI

Practice address

4048 Cedar Bluff Dr Ste 1
Petoskey, MI 49770-8895

Phone

(231) 347-5155

Fax

(231) 668-4082

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA, MI3 enrollments

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 3

Specialty

Sports Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orthopaedic Associates of Muskegon PCGroup PAC ID 7214908045, 113 clinicians

Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians

Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322
• Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
• McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
• Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239
• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khazelwood154263@mymichiganhealth.midirect.net
• Direct secure messaging: kyle.hazelwood.1@27291.direct.athenahealth.com

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.

• Great Lakes Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1952323453
  Medicare reassignment Care Compare group NPD
• Orthopaedic Associates of Muskegon, PC

  • Orthopaedic Surgery Physician
  • Muskegon, MI
  • NPI 1972566594
  Medicare reassignment Care Compare group NPD
• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767

  ID

  Medicare reassignment NPD
• Orthopaedic Associates of Muskegon, PC

  • Orthopaedic Surgery Physician
  • Grand Haven, MI
  • NPI 1215650221
  NPD
• Alfred J Wroblewski MD PC

  • Orthopaedic Surgery Physician
  • Petoskey, MI
  • NPI 1821252289
  NPD (past)
• Mackinac Straits Health System Inc

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  NPD (past)
• Mackinac Straits Health System Inc

  • General Practice Physician
  • Saint Ignace, MI
  • NPI 1659536035
  NPD (past)
• Mackinac Straits Health System Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Saint Ignace, MI
  • NPI 1811152291
  NPD (past)
• Public Hospital District #1-a of Whitman County

  • Medicare Defined Swing Bed Hospital Unit
  • Pullman, WA
  • NPI 1750401006
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Northern Michigan

  • Psychiatric Hospital Unit
  • Cheboygan, MI
  • NPI 1336897735
  Care Compare affiliation
• McLaren Northern Michigan

  • General Acute Care Hospital
  • Petoskey, MI
  • NPI 1992812580
  Care Compare affiliation
• Munson Healthcare Charlevoix Hospital

  • Critical Access Hospital
  • Charlevoix, MI
  • NPI 1346260692
  Care Compare affiliation
• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953
  Care Compare affiliation
• Munson Healthcare Otsego Memorial Hospital

  • General Acute Care Hospital
  • Gaylord, MI
  • NPI 1124028972
  Care Compare affiliation
• Mymichigan Medical Center Sault

  • General Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1295756948
  Care Compare affiliation

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851549901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-668-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-668-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N State St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811048",
            "country_code": "US",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "KYLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "46201",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125052518",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "111422",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301511405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Valentine Hartmann, PA-C
• Amalia Harvey, LLMSW
• Chanda Maria Harwood, MSN RN
• Chris Hastings
• Janet Havens, RD, CDE
• Keith D Head, LMSW
• Hearing Specialists of Northern Michigan
• Clare B Heidtke, M.D.
• Vira C Heise, M.D.
• William F Heise II, M.D.

• Orthopaedic Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.