Individual provider Active NPI

David W Hodo, MD

  • Psychiatry Physician
  • Selma, AL
National Provider Identifier
1487681672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00005897 Issued in AL
Practice address
800 Tremont Street
Selma, AL 36701
Phone
(334) 872-6773
Fax
(334) 874-6257
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00005897 AL Primary

Addresses

Primary practice location

800 Tremont Street
Selma, AL 36701

Mailing address

PO Box 1334
Selma, AL 36702-1334
Phone (334) 872-6773

Other identifiers 2

IdentifierTypeStateIssuer
000002950MedicaidAL
51002950OtherBLUE CROSS

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
I20100914000076 AL Practitioner - PsychiatryPractitioner - General PracticePractitioner - Neurology 1456476571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice, Neurology
Education
University of Alabama School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Tremont St
Selma, AL 36701-5447
Phone (334) 872-6773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as individual
Quality
78.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00005897ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Hodo, M.D., P.a. Psychiatry CurrentSince Jun 12, 1997 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jul 5, 2011 Accepting new patients
Serenity Psychiatric Outpatient, LLC CurrentSince Jul 5, 2011 Accepting new patients

Locations

616 Armory St
Greensboro, AL 36744
Phone (334) 624-3054

800 Tremont St
Selma, AL 36701
Phone (334) 872-6773

4109 Highway 98 W
Summit, MS 39666
Phone (601) 276-3900

Networks

  • bcbs alabama network 01I0
  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01C0

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487681672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367021334",
            "telephone_number": "334-872-6773",
            "fax_number": "334-874-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TREMONT STREET",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-872-6773",
            "fax_number": "334-874-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODO",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00005897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002950",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51002950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.