Individual provider Active NPI

Carmelita M Hudson-Kane, M.D.

  • Internal Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1447297155
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD101365 Issued in MO
Practice address
465 S Mount Auburn Rd
Suite 103
Cape Girardeau, MO 63703-4926
Phone
(573) 335-2900
Fax
(573) 335-2905
NPI assigned
Jun 1, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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 MD101365 MO Primary

Addresses

Primary practice location

465 S Mount Auburn Rd
Suite 103
Cape Girardeau, MO 63703-4926

Mailing address

609 Northdale Dr
Perryville, MO 63775-1115
Phone (573) 517-0036

Other identifiers 1

IdentifierTypeStateIssuer
110212243OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060607000143 MO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9830101922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX - East Missouri Providers PCGroup PAC ID 8921294257, 5 clinicians

Practice addresses (Care Compare)

465 S Mount Auburn Rd
Suite 103
Cape Girardeau, MO 63703-4900
Phone (573) 335-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.29 of 100Reported as individual
Quality
74.86
Improvement activities
40
Cost
74.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD101365MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRX - East Missouri Providers, P.C. CurrentSince Aug 13, 2011 Accepting new patients
CHK Compassion Care LLC PastSince May 12, 2009 Accepting new patients
Claudia L. Busiek, M.D. Inc Internal Medicine Past Accepting new patients

Locations

1610 N Kingshighway St
Cape Girardeau, MO 63701

1610 N Kingshighway St
Ste 301
Cape Girardeau, MO 63701

1610 N Kingshighway St
Ste 302
Cape Girardeau, MO 63701

465 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 335-2900

465 S Mount Auburn Rd
Ste 103
Cpe Girardeau, MO 63703
Phone (573) 335-2900

2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265

747 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-3030

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1447297155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORTHDALE DR",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751115",
            "telephone_number": "573-517-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S MOUNT AUBURN RD",
            "address_2": "SUITE 103",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034926",
            "telephone_number": "573-335-2900",
            "fax_number": "573-335-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-KANE",
        "first_name": "CARMELITA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD101365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110212243",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.