Active NPI
Herbert C Hodes, M.D.
- Obstetrics Physician
- Overland Park, KS
National Provider Identifier
1255300893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 04-14447
- Practice address
- 4840 College Blvd
Overland Park, KS 66211-1601 - Phone
- (913) 491-6878
- Fax
- (913) 491-6808
- NPI assigned
- Mar 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 04-14447 | KS | Primary |
| Obstetrics Physician | 207VX0000X | R5071 | MO |
Addresses
Primary practice location
4840 College Blvd
Overland Park, KS 66211-1601
Mailing address
4840 College Blvd
Overland Park, KS 66211-1601
Phone (913) 491-6878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200106219 | Medicaid | MO | |
| 100094500A | Medicaid | KS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| University Health Physicians | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2058/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1255300893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111601",
"telephone_number": "913-491-6878",
"fax_number": "913-491-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111601",
"telephone_number": "913-491-6878",
"fax_number": "913-491-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODES",
"first_name": "HERBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "KS",
"license": "04-14447",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MO",
"license": "R5071",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200106219",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100094500A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.