Individual provider Active NPI

John Douglas Hudson, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Austin, TX
National Provider Identifier
1487626008
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
D0915 Issued in TX
Practice address
5508 Parkcrest Dr
Suite 310
Austin, TX 78731-4914
Phone
(512) 420-9900
Fax
(512) 420-9944
NPI assigned
Feb 7, 2006
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X D0915 TX Primary

Addresses

Primary practice location

5508 Parkcrest Dr
Suite 310
Austin, TX 78731-4914

Mailing address

5508 Parkcrest Dr
Suite 310
Austin, TX 78731-4914
Phone (512) 420-9900

Other identifiers 1

IdentifierTypeStateIssuer
138111314MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040209000454 TX Practitioner - NeurologyPractitioner - Sleep Medicine 4082510110 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Consultants of Central Texas, PLLC CurrentSince Nov 1, 2012 Accepting new patients
Hudson Werner Horn Karnik Douglas Hummer PA Current Accepting new patients
Desai Sleep PLLC Past Accepting new patients

Locations

5508 Parkcrest Dr
Ste 310
Austin, TX 78731
Phone (512) 420-9900

5929 Balcones Dr
Ste 303
Austin, TX 78731
Phone (512) 420-9900

711 W 38th St
#F
Austin, TX 78705
Phone (512) 458-6121

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, 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1487626008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 PARKCREST DR",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314914",
            "telephone_number": "512-420-9900",
            "fax_number": "512-420-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 PARKCREST DR",
            "address_2": "SUITE 310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314914",
            "telephone_number": "512-420-9900",
            "fax_number": "512-420-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "D0915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138111314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.