Individual provider Active NPI

Kevin Marcell Hoddinott, MD

  • Vascular Surgery Physician
  • Ocala, FL
National Provider Identifier
1003801333
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME100609 Issued in FL
Practice address
1511 SW 1St Ave
Ocala, FL 34471-6505
Phone
(352) 368-1661
Fax
(352) 867-9794
NPI assigned
Sep 13, 2005
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0578081 PA
Surgery Physician 208600000X 35-06-2777 OH
Surgery Physician 208600000X ME100609 FL
Vascular Surgery Physician 2086S0129X ME100609 FL Primary

Addresses

Primary practice location

1511 SW 1St Ave
Ocala, FL 34471-6505

Mailing address

PO Box 3130
Ocala, FL 34478-3130
Phone (352) 867-8311

Other identifiers 2

IdentifierTypeStateIssuer
29763OtherFLBCBS
281126000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081006000691 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 8426079021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

1720 SE 16TH Ave
Suite 303
Ocala, FL 34471-4620
Phone (352) 369-0288

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Leg revascularization (restoring blood flow)1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0578081PAMDSurgery Physician
ME100609FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Surgery CurrentSince Aug 1, 2018 Accepting new patients
Munroe Regional Health System Inc Past Accepting new patients

Locations

1720 SE 16th Ave
Ste 303
Ocala, FL 34471
Phone (352) 368-1661

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: khoddinott68025@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1003801333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783130",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716505",
            "telephone_number": "352-368-1661",
            "fax_number": "352-867-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODDINOTT",
        "first_name": "KEVIN",
        "middle_name": "MARCELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD0578081",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-06-2777",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME100609",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME100609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29763",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281126000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.