Active NPI
Timothy R Hackett, M.D.
- Surgery Physician
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301095432
- Practice address
- 912 S Washington Ave Ste 1
Saginaw, MI 48601-2578 - Phone
- (989) 790-1001
- Fax
- (989) 790-1016
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301095432 | MI | Primary |
Addresses
Primary practice location
912 S Washington Ave Ste 1
Saginaw, MI 48601-2578
Mailing address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 558-6425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thackett12394@direct.covenanthealthcare.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Medical College of Ohio, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4170
255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016
4599 Towne Centre Rd
Saginaw, MI 48604-2804
Phone (989) 497-3096
700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-6279
912 S Washington Ave
Suite 1
Saginaw, MI 48601-2578
Phone (989) 790-1001
Hospital & facility affiliations
- Covenant at Home
- Covenant Medical Center
- Mymichigan Medical Center Saginaw
- Mymichigan Medical Center Midland
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.39 of 100
- Quality
- 73.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
| Removal of tissue | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saginaw Cooperative Hospitals, Inc | Surgery | Current | Accepting new patients |
| Saginaw Cooperative Hospital Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Covenant Medical Center, Inc. | Past | Accepting new patients |
Locations
2919 Wilder Rd
Ste 210
Bay City, MI 48706
Phone (989) 607-0590
3190 Northridge Rd
Hale, MI 48739
Phone (989) 728-4211
1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800
912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857
912 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4100
Interoperability endpoints
- thackett12394@direct.covenanthealthcare.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Hospitalist Physician
- Saginaw, MI
- NPI 1548877434
-
- Surgery Physician
- Saginaw, MI
- NPI 1467557819
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1558376962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- Home Health Agency
- Saginaw, MI
- NPI 1073595245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1992822928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HOUGHTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025303",
"telephone_number": "989-558-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S WASHINGTON AVE STE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012578",
"telephone_number": "989-790-1001",
"fax_number": "989-790-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "TIMOTHY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301095432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thackett12394@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "912 S Washington Ave",
"address_2": "Suite 1",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486012564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.