Individual provider Active NPI

Michael Dennis Hadley, MD, MBA

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1922539865
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
157438 Issued in CA
Practice address
477 N El Camino Real
Encinitas, CA 92024-1328
Phone
(760) 479-3900
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 157438 CA Primary

Addresses

Primary practice location

477 N El Camino Real
Encinitas, CA 92024-1328

Mailing address

9909 Mira Mesa Blvd
San Diego, CA 92131-1056
Phone (858) 657-7750

Other practice location 1

4361 Mistral Pl
San Diego, CA 92130-2102
Phone (141) 593-9201

Other practice location 2

9909 Mira Mesa Blvd
San Diego, CA 92131-1056
Phone (858) 657-7750

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
I20190506001851 CA Practitioner - Family Practice 7911249321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

477 N El Camino Real
Suite A208
Encinitas, CA 92024-1329
Phone (760) 479-3900

Hospital & facility affiliations

  • Lorian Health Home health agency, San Diego, CA, CCN 058113
  • Seaport Scripps Home Health Home health agency, San Diego, CA, CCN 057602
  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Sea Coast Home Health Care Inc Home health agency, San Diego, CA, CCN 559055
  • Meridian Home Health Home health agency, San Diego, CA, CCN 059749
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Glenbrook Nursing home, Carlsbad, CA, CCN 555806

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157438CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 21, 2019 Accepting new patients
Scripps Health Family Medicine Current Accepting new patients
Scripps Health Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Jan 21, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Jul 1, 2020 Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050

477 N El Camino Real
Encinitas, CA 92024
Phone (760) 479-3900

477 N El Camino Real
Ste S208
Encinitas, CA 92024

477 N El Camino Real
Ste A208
Encinitas, CA 92024
Phone (760) 479-3900

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

Interoperability endpoints

  • Direct secure messaging: mhadley378639@scrippshlth.medalliesdirect.net
  • Direct secure messaging: mhadley32665@sharphealthcare.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1922539865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311056",
            "telephone_number": "858-657-7750",
            "fax_number": "858-566-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-479-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4361 Mistral Pl",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302102",
            "country_code": "US",
            "telephone_number": "141-593-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9909 Mira Mesa Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311056",
            "country_code": "US",
            "telephone_number": "858-657-7750",
            "fax_number": "858-566-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "157438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.