Individual provider Active NPI

Donald T Hudak, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Batesville, IN
National Provider Identifier
1396709234
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
01049786A Issued in IN
Practice address
374 Northside Dr
Batesville, IN 47006-7038
Phone
(812) 496-8782
Fax
(812) 539-1800
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.081767 OH
Ophthalmology Physician 207W00000X 42414 KY
Ophthalmology Physician 207W00000X 01049786A IN
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 42414 KY
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 35.081767 OH
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 01049786A IN Primary

Addresses

Primary practice location

374 Northside Dr
Batesville, IN 47006-7038

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (812) 496-8782

Other practice location 1

1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-3111

Other identifiers 5

IdentifierTypeStateIssuer
2424022MedicaidOH
64064462MedicaidKY
P00443351OtherOHRR MEDICARE
000000533203OtherANTHEM BC/BS
1011062680001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060913000191 OH Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 1557337730 Reassigns benefits to 2 organizations
I20090209000400 KY Practitioner - Ophthalmology 1557337730 Reassigns benefits to 1 organization
I20240124003437 IN Practitioner - Ophthalmology 1557337730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, shared by 11 NPIs, 803 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (859) 655-3111

1500 James Simpson Jr Way
Covington, KY 41011-0800
Phone (859) 655-4111

374 Northside Dr
St Elizabeth Physicians
Batesville, IN 47006-7038
Phone (812) 539-1888

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.081767OHMDOphthalmology Physician
42414KYMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Current Accepting new patients
Summit Medical Group, Inc Ophthalmology CurrentSince Sep 25, 2023 Accepting new patients
Summit Medical Group, Inc. CurrentSince Sep 25, 2023 Accepting new patients
University Eye Physicians, Inc Ophthalmology Past Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

374 Northside Dr
Batesville, IN 47006
Phone (812) 496-8782

606 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 537-5558

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

Interoperability endpoints

  • Direct secure messaging: dhudak25828@direct-prd.stelizabeth.com
  • Direct secure messaging: dhudak665842@direct.bsmhealth.org

Organizations & group practices 5

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 8

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1396709234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "812-496-8782",
            "fax_number": "812-539-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 NORTHSIDE DR",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470067038",
            "telephone_number": "812-496-8782",
            "fax_number": "812-539-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 James Simpson Jr Way",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410110801",
            "country_code": "US",
            "telephone_number": "859-655-3111",
            "fax_number": "859-655-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "DONALD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.081767",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "42414",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01049786A",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
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            "license": "42414",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.081767",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01049786A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424022",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64064462",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00443351",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000533203",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011062680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.