NPIMap

Individual provider Active NPI

Michael Dwayne Hodge II, D.O.

  • Hospitalist Physician
  • Sioux Falls, SD
National Provider Identifier
1225561863
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
14222 Issued in SD
Practice address
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone
(605) 328-4973
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.014249 OH
Hospitalist Physician 208M00000X 14222 SD Primary

Addresses

Primary practice location

1305 W 18TH St
Sioux Falls, SD 57105-0401

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other practice location 1

131 Coventry St Fl 2
Hartford, CT 06112-1548
Phone (860) 714-2812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200602001825 OH Practitioner - Internal Medicine 3173895091 Reassigns benefits to 2 organizations
I20231006000582 SD Practitioner - Hospitalist 3173895091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

2971 Maple Ave
Zanesville, OH 43701-1406
Phone (614) 255-6900

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014249OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Aug 28, 2023 Accepting new patients
Sanford Clinic Current Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Apr 8, 2020 Accepting new patients
Genesis Medical Group, LLC CurrentSince Mar 7, 2022 Accepting new patients
Genesis Medical Group LLC Internal Medicine CurrentSince Mar 7, 2022 Accepting new patients
Sanford Clinic CurrentSince Aug 28, 2023 Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 6

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 10

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1225561863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-328-4973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Coventry St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061121548",
            "country_code": "US",
            "telephone_number": "860-714-2812",
            "fax_number": "860-714-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MICHAEL",
        "middle_name": "DWAYNE",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.014249",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "14222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.