Individual provider Active NPI

Thomas D Hudson, M.D.

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1487646915
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME56251 Issued in FL
Practice address
445 Rosemeade LN
Naples, FL 34105-7156
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Aug 19, 2005
Last updated
Dec 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME56251 FL Primary

Addresses

Primary practice location

445 Rosemeade LN
Naples, FL 34105-7156

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040412001045 FL Practitioner - Diagnostic Radiology 4385638535 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56251FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women Center for Radiology Diagnostic Radiology CurrentSince Jul 10, 2020 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 15, 2018 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 2, 2019 Accepting new patients
Naples Diagnostic Imaging Center LTD Diagnostic Radiology Past Accepting new patients
Anchor Health Centers PA Diagnostic Radiology Past Accepting new patients

Locations

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

1621 N Mills Ave
Orlando, FL 32803
Phone (407) 581-4147

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1487646915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROSEMEADE LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057156",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME56251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.