Individual provider Active NPI

Nicole C Hodge, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1548308653
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M7272 Issued in TX
Practice address
701 Commerce St Ste 514
Dallas, TX 75202-4522
Phone
(972) 637-8456
Fax
(469) 405-8612
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M7272 TX Primary

Addresses

Primary practice location

701 Commerce St Ste 514
Dallas, TX 75202-4522

Mailing address

5001 Spring Valley Rd
Suite 400 East
Dallas, TX 75244-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071129000491 TX Practitioner - Anesthesiology 7012006992 Reassigns benefits to 1 organization
I20120327000244 OK Practitioner - Anesthesiology 7012006992 Reassigns benefits to 1 organization
I20240523002929 DC Practitioner - Anesthesiology 7012006992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7272TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Apr 20, 2024 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Dec 19, 2023 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Sep 2, 2020 Accepting new patients
Ncac Anesthesia Consultants, PA Anesthesiology Past Accepting new patients
Nicole C Hodge MD PA Anesthesiology Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

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 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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1548308653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD",
            "address_2": "SUITE 400 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COMMERCE ST STE 514",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024522",
            "telephone_number": "972-637-8456",
            "fax_number": "469-405-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M7272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.