Individual provider Active NPI

Donald F Hodurski, M.D.

  • Orthopaedic Surgery Physician
  • Montgomery, AL
National Provider Identifier
1437118254
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00005785 Issued in AL
Practice address
101 S Union St
Montgomery, AL 36130-3022
Phone
(334) 301-2825
NPI assigned
Mar 21, 2006
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00005785 AL Primary
Orthopaedic Surgery Physician 207X00000X ME90799 FL
Orthopaedic Surgery Physician 207X00000X 01023439A IN

Addresses

Primary practice location

101 S Union St
Montgomery, AL 36130-3022

Mailing address

PO Box 49
Fitzpatrick, AL 36029-0049
Phone (334) 301-2825

Other identifiers 6

IdentifierTypeStateIssuer
0910073OtherALUNITED HEALTHCARE
000037186MedicaidAL
009939391MedicaidAL
510-37186OtherALBCBS
200026240OtherRAILROAD MEDICARE
510-07507OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150721003328 AL Practitioner - General SurgeryPractitioner - Internal Medicine 0547271744 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00005785ALMDOrthopaedic Surgery Physician
ME90799FLMDOrthopaedic Surgery Physician
01023439AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Alabama, Inc CurrentSince Jun 19, 2015 Accepting new patients
Southern Orthopaedic Surgeons, LLC PastSince May 12, 1997 Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

Interoperability endpoints

  • Direct secure messaging: donald.hodurski@direct.baptistfirst.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1437118254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "FITZPATRICK",
            "state": "AL",
            "postal_code": "360290049",
            "telephone_number": "334-301-2825",
            "fax_number": "334-738-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S UNION ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361303022",
            "telephone_number": "334-301-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODURSKI",
        "first_name": "DONALD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00005785",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME90799",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01023439A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0910073",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000037186",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939391",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-37186",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200026240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-07507",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.