NPIMap

Individual provider Active NPI

David Blake Hodges, M.D.

  • Hematology & Oncology Physician
  • Cypress, TX
National Provider Identifier
1619101896
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
P1186 Issued in TX
Practice address
21216 Northwest Fwy Ste 670
Cypress, TX 77429-4697
Phone
(254) 724-2111
NPI assigned
May 4, 2009
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10034606 TX
Hematology & Oncology Physician 207RH0003X 76457 MN
Hematology & Oncology Physician 207RH0003X P1186 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 670
Cypress, TX 77429-4697

Mailing address

PO Box 207012
Dallas, TX 75320-7012
Phone (405) 682-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150924002977 TX Practitioner - Hematology/Oncology 2961710926 Reassigns benefits to 3 organizations
I20230320001587 IA Practitioner - Hematology 2961710926 Reassigns benefits to 1 organization
I20240612003021 MN Practitioner - Hematology/Oncology 2961710926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, shared by 21 NPIs, 349 clinicians

Practice addresses (Care Compare)

1233 34TH St NW
Bemidji, MN 56601-5112
Phone (218) 333-5522

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

P O Box
Suite 5074
Sioux Falls, SD 57117-5074

PO Box
Suite 5074
Sioux Falls, SD 57117-5074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034606TXMDInternal Medicine Physician
P1186TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Jun 17, 2024 Accepting new patients
Millennium Physicians Association, PLLC Internal Medicine CurrentSince Oct 15, 2019 Accepting new patients
North Cypress Medical Partners, Inc Internal Medicine CurrentSince Aug 3, 2015 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Millennium Physicians Association PLLC CurrentSince Oct 15, 2019 Accepting new patients
Allen Memorial Hospital Corporation Hematology & Oncology CurrentSince Apr 3, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

3530 W 4th St
Waterloo, IA 50701
Phone (319) 240-3745

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

21216 Northwest Fwy
Ste 670
Cypress, TX 77429
Phone (281) 807-6554

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

506 Graham Dr
Ste 120
Tomball, TX 77375
Phone (281) 516-0236

Interoperability endpoints

  • Direct secure messaging: david.hodges@mpa.ikm.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 10

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1619101896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207012",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207012",
            "telephone_number": "405-682-3303",
            "fax_number": "405-384-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 670",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294697",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "DAVID",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10034606",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "76457",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "P1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.