Active NPI
Daniel Hodge, NP
- Primary Care Nurse Practitioner
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704244194
- Practice address
- 117 W Paterson St
Kalamazoo, MI 49007-2557 - Phone
- (269) 349-2641
- NPI assigned
- Aug 12, 2015
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704244194 | MI | Primary |
Addresses
Primary practice location
117 W Paterson St
Kalamazoo, MI 49007-2557
Mailing address
117W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
Other practice location 1
505 E Alcott St
Kalamazoo, MI 49001-6144
Phone (269) 349-2641
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150917000291 | MI | Practitioner - Nurse Practitioner | 8022325497 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center, Inc.
Practice addresses (Care Compare)
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
Hospital & facility affiliations
- Bronson Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704244194 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center Inc. | Current | Accepting new patients | |
| Family Health Center Inc | Current | Accepting new patients | |
| Family Health Center Inc | Current | Accepting new patients |
Locations
117 W Paterson St
Kalamazoo, MI 49007
505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715
325 E Centre Ave
Portage, MI 49002
Phone 2693492641 ext. 231
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1215768296
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1023560331
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1891005906
-
- Family Medicine Physician
- Kalamazoo, MI
- NPI 1700901246
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": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1023484235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117W PATERSON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490072557",
"telephone_number": "269-349-2641",
"fax_number": "269-201-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W PATERSON ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490072557",
"telephone_number": "269-349-2641"
}
],
"practiceLocations": [
{
"address_1": "505 E Alcott St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490016144",
"country_code": "US",
"telephone_number": "269-349-2641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGE",
"first_name": "DANIEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704244194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.