Individual provider Active NPI

Cody Lee Hedrick

  • Internal Medicine Physician
  • Lebanon, IN
National Provider Identifier
1326546052
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01082857A Issued in IN
Practice address
2705 N Lebanon St Ste 315
Lebanon, IN 46052-8630
Phone
(765) 485-8855
Fax
(765) 485-8850
NPI assigned
Jan 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01082857A IN Primary

Addresses

Primary practice location

2705 N Lebanon St Ste 315
Lebanon, IN 46052-8630

Mailing address

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone (937) 257-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715003536 OH Practitioner - Internal Medicine 9335497338 Reassigns benefits to 3 organizations
I20250506001082 IN Practitioner - Internal Medicine 9335497338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witham Memorial HospitalGroup PAC ID 4082523170, 107 clinicians

Practice addresses (Care Compare)

1650 W Oak St
Zionsville, IN 46077-3835

2705 N Lebanon St
Lebanon, IN 46052-8622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Witham Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Oct 16, 2023 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

2705 N Lebanon St
Ste 315
Lebanon, IN 46052
Phone (765) 485-8855

2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649

1650 W Oak St
Ste 101
Zionsville, IN 46077
Phone (317) 733-6300

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

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 5

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1326546052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-0837",
            "fax_number": "937-208-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 315",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528630",
            "telephone_number": "765-485-8855",
            "fax_number": "765-485-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "CODY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082857A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.