Individual provider Active NPI

David Alan Hodgett, MD

  • Surgery Physician
  • Aurora, IL
National Provider Identifier
1467554717
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036087158 Issued in IL
Practice address
2040 Ogden Ave
Suite 115
Aurora, IL 60504-7206
Phone
(630) 585-0200
Fax
(630) 585-7396
NPI assigned
Sep 5, 2006
Last updated
Jul 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036087158 IL Primary

Addresses

Primary practice location

2040 Ogden Ave
Suite 115
Aurora, IL 60504-7206

Mailing address

1256 Waterford Drive
Suite 230
Aurora, IL 60504
Phone (630) 692-5208

Other identifiers 1

IdentifierTypeStateIssuer
036087158MedicaidIL

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
I20191104000935 AL Practitioner - General Surgery 4688605090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale Medical CenterGroup PAC ID 3476466327, 29 clinicians

Practice addresses (Care Compare)

2126 W Roy Parker Rd
Suite 203
Ozark, AL 36360-8566
Phone (334) 443-0160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10
Removal of tissue23
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Dale Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Dale Medical Center Current Accepting new patients
Houston County Healthcare Authority CurrentSince Sep 25, 2019 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Dale Medical Center Surgery Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

2126 W Roy Parker Rd
Ste 203
Ozark, AL 36360
Phone (334) 445-1997

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/dale-309b724a

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

Hospital & facility affiliations 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1467554717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DRIVE",
            "address_2": "SUITE 230",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-692-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE",
            "address_2": "SUITE 115",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047206",
            "telephone_number": "630-585-0200",
            "fax_number": "630-585-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGETT",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036087158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087158",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.