Active NPI
Michael A Hamilton, MD
- Family Medicine Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01050063A
- Practice address
- 1520 S Liberty Dr
Bloomington, IN 47403-5167 - Phone
- (812) 676-4500
- Fax
- (812) 676-4501
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01050063A | IN | Primary |
Addresses
Primary practice location
1520 S Liberty Dr
Bloomington, IN 47403-5167
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200277950 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MHAMILTON3@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima, Inc. | Family Medicine | Current | Accepting new patients |
| Premier Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663
482 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-8474
1403 E Atwater Ave
Bloomington, IN 47401
Phone (812) 332-9396
3043 N Lintel Dr
Bloomington, IN 47404
Phone (812) 333-7622
Interoperability endpoints
- mhamilton3@direct.iuhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1942205737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S LIBERTY DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035167",
"telephone_number": "812-676-4500",
"fax_number": "812-676-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01050063A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200277950",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MHAMILTON3@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1520 S Liberty Dr",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474035167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.