Active NPI
Barton Lyle Hodes, MD
- Ophthalmology Physician
- Tucson, AZ
National Provider Identifier
1205911823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 15837
- Practice address
- 5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122 - Phone
- (520) 795-4202
- Fax
- (520) 326-5317
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 15837 | AZ | Primary |
Addresses
Primary practice location
5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122
Phone (520) 795-4202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251679 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15837 | AZ | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1205911823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-795-4202",
"fax_number": "520-326-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "STE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-795-4202",
"fax_number": "520-326-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODES",
"first_name": "BARTON",
"middle_name": "LYLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "15837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251679",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.