Individual provider Active NPI

Timothy R Hackett, M.D.

  • Surgery Physician
  • Saginaw, MI
National Provider Identifier
1992822928
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301095432 Issued in MI
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

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000534 MI Practitioner - General PracticePractitioner - General Surgery 9032256920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Medical College of Ohio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw Cooperative Hospitals IncGroup PAC ID 3971400318, 74 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

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 Home health agency, Saginaw, MI, CCN 237431
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Surgery CurrentSince Aug 26, 2013 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 26, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.