Active NPI
Nicole C Hodge, MD
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M7272
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| M7272 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1558329284
-
- Anesthesiology Physician
- Allen, TX
- NPI 1154640480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.