HYATT MEDICAL GROUP
NPI 1457170458
Clinic/Center - Primary Care in Cape Girardeau, MO
About Hyatt Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HYATT MEDICAL GROUP (NPI 1457170458) is a healthcare organization registered as a primary care in Cape Girardeau, Missouri and active in the NPI registry since October 2024. The organization lists Andrew Blaine Hyatt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hyatt Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hyatt Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hyatt Medical Group's NPI number?
The NPI number for Hyatt Medical Group is 1457170458. It was assigned to this organization in the NPPES registry on October 7, 2024.
Where is Hyatt Medical Group located?
Hyatt Medical Group is located at 1854 Broadway St, Cape Girardeau, MO 63701. The listed phone number is (573) 381-5050.
What is Hyatt Medical Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Hyatt Medical Group enrolled in Medicare?
Yes. Hyatt Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hyatt Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hyatt Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hyatt Medical Group was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hyatt Medical Group · NPI 1457170458
Primary Care organization in Cape Girardeau, Missouri. Organization record, active in the CMS NPPES registry since October 7, 2024.
## Identity
- **NPI:** 1457170458 (Entity type: Organization)
- **Enumerated:** October 7, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Andrew Hyatt, OWNER
## Practice location
- **Address:** 1854 BROADWAY ST, Cape Girardeau, MO 63701-4553
- **Phone:** (573) 381-5050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457170458) · Data from the CMS NPPES public registry.