Active NPI
David W Hodo, MD
- Psychiatry Physician
- Selma, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 00005897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000002950 | Medicaid | AL | |
| 51002950 | Other | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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 100
- Quality
- 78.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005897 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W. Hodo, M.D., P.a. | Psychiatry | Current | Accepting new patients |
| Serenity Psychiatric Outpatient, LLC | Current | Accepting new patients | |
| Serenity Psychiatric Outpatient, LLC | Current | 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.
-
- Psychiatry Physician
- Selma, AL
- NPI 1679836878
-
dba Colonial Haven Rehab
- Clinical Social Worker
- Greensboro, AL
- NPI 1083903298
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Whitfield Regional Hospital
- General Acute Care Hospital
- Demopolis, AL
- NPI 1588690085
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.