Active NPI
Donald T Hudak, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Batesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 01049786A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2424022 | Medicaid | OH | |
| 64064462 | Medicaid | KY | |
| P00443351 | Other | OH | RR MEDICARE |
| 000000533203 | Other | ANTHEM BC/BS | |
| 1011062680001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Northeastern Ohio University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
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
- St Elizabeth Dearborn Hospital
- Good Samaritan Hospital
- St Elizabeth Florence
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 69 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.081767 | OH | MD | Ophthalmology Physician |
| 42414 | KY | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Ophthalmology | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | 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
- dhudak25828@direct-prd.stelizabeth.com
- 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.
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1942296298
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Ophthalmology Physician
- Cincinnati, OH
- NPI 1992759203
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
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",
"state": "KY",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.