Individual provider Active NPI

Christian L Hodach, D.O.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1043548746
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DO2010020887 Issued in MO
Practice address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone
(314) 966-9491
Fax
(314) 966-9394
NPI assigned
Nov 18, 2009
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OTO12484 PA
Anesthesiology Physician 207L00000X DO2010020887 MO Primary

Addresses

Primary practice location

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Mailing address

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 966-9491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NC, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120103000721 MO Practitioner - Anesthesiology 3870769482 Reassigns benefits to 1 organization
I20130103000347 NC Practitioner - Anesthesiology 3870769482 Reassigns benefits to 1 organization
I20200422002699 NV Practitioner - Anesthesiology 3870769482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Orthopedic Anesthesia Consultants LLCGroup PAC ID 8527318864, 11 clinicians
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians

Practice addresses (Care Compare)

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-5000

555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040

625 Innovation Dr
Reno, NV 89511-2215
Phone (775) 799-7320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2010020887MOMDAnesthesiology Physician
OTO12484PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Orthopedic Anesthesia Consultants, LLC Anesthesiology CurrentSince Feb 3, 2022 Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jun 24, 2019 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Feb 14, 2025 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Feb 14, 2025 Accepting new patients
Mound City Inpatient Services, LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

555 N Arlington Ave
Reno, NV 89503

2321 Pyramid Way
Ste B
Sparks, NV 89431
Phone (775) 331-1919

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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 4

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1043548746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9491",
            "fax_number": "314-966-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9491",
            "fax_number": "314-966-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODACH",
        "first_name": "CHRISTIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OTO12484",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "DO2010020887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.