Organization Active NPI

Hartland Medicine PLLC

  • Internal Medicine Physician
  • Hartland, MI
National Provider Identifier
1962118752
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARTLAND MEDICINE PLLC
Practice address
2750 Bella Vita Dr
Hartland, MI 48353-0139
Phone
(810) 379-1080
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Michael A Cutting, MDNPI 1154703999
Title
Owner
Phone
(480) 888-6814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2750 Bella Vita Dr
Hartland, MI 48353-0139

Mailing address

13277 Hyde Rd
Hartland, MI 48353-3209
Phone (480) 888-6814

Other identifiers 2

IdentifierTypeStateIssuer
VS0270901MedicaidMI
4301108278OtherMIMED LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hartlandmed@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230209002163 MI Part B Supplier - Clinic/Group Practice 0143692640 Receives reassigned benefits from 1 practitioner
Practice locations: Hartland, MI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: hartlandmed@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1962118752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13277 HYDE RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483533209",
            "telephone_number": "480-888-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BELLA VITA DR",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483530139",
            "telephone_number": "810-379-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "CUTTING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-888-6814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0270901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LIC",
            "identifier": "4301108278",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hartlandmed@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "2750 Bella Vita Dr",
            "city": "Hartland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483530139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.