Individual provider Active NPI

Lori B. Hudson, M.D.

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1104908615
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36170 Issued in AZ
Practice address
1871 W. Orange Grove Rd.
Ste. 101
Tucson, AZ 85704
Phone
(520) 498-5000
Fax
(520) 325-9087
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C1-0025537 DE
Obstetrics & Gynecology Physician 207V00000X 36170 AZ Primary

Addresses

Primary practice location

1871 W. Orange Grove Rd.
Ste. 101
Tucson, AZ 85704

Mailing address

4881 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 795-0549

Other identifiers 1

IdentifierTypeStateIssuer
153830MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20230523003189 DE Practitioner - Obstetrics/Gynecology 7911907969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services Delaware PAGroup PAC ID 4880813385, 3 clinicians

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530
Phone (862) 674-4700

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Jul 3, 2023 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jul 9, 2023 Accepting new patients
OB Hospitalist Services Delaware PA Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Medical Center, Inc Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 9, 2023 Accepting new patients
Catherine Westerband MD PC Obstetrics & Gynecology Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

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 and National Provider Directory roles.

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1104908615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-795-0549",
            "fax_number": "520-795-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W. ORANGE GROVE RD.",
            "address_2": "STE. 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-498-5000",
            "fax_number": "520-325-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "LORI",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0025537",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153830",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.