Active NPI
Thomas J Huggett, MD
- Pediatrics Physician
- Paw Paw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301068031
- Practice address
- 451 Health Pkwy
Suite E
Paw Paw, MI 49079-8242 - Phone
- (269) 655-3090
- Fax
- (269) 655-0763
- NPI assigned
- Nov 15, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301068031 | MI | Primary |
Addresses
Primary practice location
451 Health Pkwy
Suite E
Paw Paw, MI 49079-8242
Mailing address
451 Health Pkwy
Suite E
Paw Paw, MI 49079-8242
Phone (269) 655-3090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4096350 | Medicaid | MI | |
| 238601 | Other | MI | MEDICARE RURAL HEALTH CLINIC NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301068031 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Pediatrics | Current | Accepting new patients |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Star Health Multispecialty Group P.C. | Pediatrics | Past | Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
#2
Kalamazoo, MI 49007
451 Health Pkwy
Ste E
Paw Paw, MI 49079
Phone (269) 655-3090
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
Interoperability endpoints
- thuggett10542@direct.bronsonhg.org
- direct@direct.bronsonhg.org
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1912989153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY",
"address_2": "SUITE E",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798242",
"telephone_number": "269-655-3090",
"fax_number": "269-655-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY",
"address_2": "SUITE E",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798242",
"telephone_number": "269-655-3090",
"fax_number": "269-655-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGGETT",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2023-11-27",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301068031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4096350",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RURAL HEALTH CLINIC NUMBER",
"identifier": "238601",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.