Individual provider Active NPI

Justin R Hudson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Worthington, OH
National Provider Identifier
1487649000
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003706 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2591
Phone
(614) 895-8747
Fax
(614) 895-8810
NPI assigned
Sep 20, 2005
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000948A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003706 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2591

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779

Other practice location 1

5060 Bradenton Ave Ste B
Dublin, OH 43017-3511
Phone (614) 895-8747

Other identifiers 2

IdentifierTypeStateIssuer
0229556MedicaidOH
H536080OtherOHMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216001139 OH Practitioner - Podiatry 5092806836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue405
Removal of nail tissue553
Removal or shaving of skin growth259
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000948AINMDPodiatrist
36.003706OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 1, 2022 Accepting new patients
The Foot and Ankle Center LLC Podiatrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Past Accepting new patients
Family Foot and Ankle Center Inc Podiatrist Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

5060 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (609) 969-8562

6850 Perimeter Dr
Dublin, OH 43016

2030 Stringtown Rd
Ste 210B
Grove City, OH 43123
Phone (614) 505-8890

350 W Wilson Bridge Rd
Ste 200
Worthington, OH 43085
Phone (614) 505-8990

Interoperability endpoints

  • Direct secure messaging: jhudson@yourcarecommunity.org
  • Direct secure messaging: justin.hudson.1@23107.direct.athenahealth.com
  • Direct secure messaging: justin.hudson.p1@direct.beaconortho.nextgenshare.com

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 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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1487649000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "138-549-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852591",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 Bradenton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173511",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000948A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229556",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H536080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.