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MICHAEL G. HUGHES JR. MD
NPI 1831133644
Transplant Surgery in Louisville, KY

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
2401 TERRA CROSSING BLVD STE 375, LOUISVILLE, KY 40245(502) 912-8300(502) 912-8310 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Jul 2, 2020, Aug 27, 2019 and 1 more (4 updates tracked since 2019).

About Michael G. Hughes Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL G. HUGHES JR. MD (NPI 1831133644) is an individual transplant surgery provider in Louisville, Kentucky, licensed in Kentucky (44016) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians' Medical Center Llc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1831133644
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameMICHAEL G. HUGHES JR.Credential: MD
Location Address2401 TERRA CROSSING BLVD STE 375Louisville, KY 40245-5395
Mailing Address2401 Terra Crossing Blvd Ste 375Louisville, KY 40245-5395 · (502) 912-8300 · Fax (502) 912-8310
Phone(502) 912-8300
Fax(502) 912-8310
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 9, 20204 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1831133644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses✔ Licensed in KY · 44016✔ Licensed in IN · 99098912A
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 44016 (KY), 99098912A (IN)
2401 TERRA CROSSING BLVD STE 375, Louisville, KY 40245
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael G. Hughes Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123190808
PECOS Enrollment IDI20101021000763, I20200821001783
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Other procedure on stomach using an endoscope 43659
An endoscopic procedure on the stomach involves a flexible tube with a camera, called an endoscope, inserted through the mouth to examine the stomach. It helps diagnose and sometimes treat stomach-related issues. It's safe and usually painless.
18 services17 patients
Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590
The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Physicians' Medical Center LLC

Acute Care Hospitals · New Albany, IN
OwnershipPhysician
CMS Certification Number150172
Location4023 Reas LnNew Albany, IN 47150 · Floyd County

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANGUARD SURGICAL LLC
Transplant Surgery
2401 TERRA CROSSING BLVD STE 375
LOUISVILLE, KY 40245
Jefferson County (502) 912-8300
DAVID R. GELLER M.D.
Surgery
2401 TERRA CROSSING BLVD STE 375
LOUISVILLE, KY 40245
Jefferson County (502) 893-7151
TAYLOR RICH
Nurse Practitioner (Family)
2401 TERRA CROSSING BLVD STE 375
LOUISVILLE, KY 40245
Jefferson County (502) 912-8300

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 Michael Hughes's NPI number?

The NPI number for Michael Hughes is 1831133644. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Michael Hughes located?

Michael Hughes practices at 2401 Terra Crossing Blvd Ste 375, Louisville, KY 40245. The listed phone number is (502) 912-8300.

What is Michael Hughes's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Michael Hughes enrolled in Medicare?

Yes. Michael Hughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Michael Hughes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Hughes affiliated with any hospitals?

According to CMS data, Michael Hughes is affiliated with Physicians' Medical Center LLC, Jewish Hospital & St Mary's Healthcare and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Michael Hughes was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.