Individual provider Active NPI

John C. Hodges, M.D.

  • Internal Medicine Physician
  • Dublin, TX
National Provider Identifier
1619937273
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9566 Issued in TX
Practice address
303 N Patrick Street
Dublin, TX 76446-1918
Phone
(254) 445-4900
Fax
(254) 445-4693
NPI assigned
Mar 27, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F9566 TX Primary

Addresses

Primary practice location

303 N Patrick Street
Dublin, TX 76446-1918

Mailing address

303 N Patrick Street
Dublin, TX 76446-1918
Phone (254) 445-4900

Other identifiers 3

IdentifierTypeStateIssuer
110212230OtherTXRR/MEDICARE
1316465-04MedicaidTX
86J241OtherTXBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100203000933 TX Practitioner - Internal Medicine 0749323491 Practice locations: Dublin, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County Medical Center CompanyGroup PAC ID 3678753357, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 879-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9566TXMDInternal Medicine Physician

Hospital & facility affiliations 5

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1619937273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N PATRICK STREET",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461918",
            "telephone_number": "254-445-4900",
            "fax_number": "254-445-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N PATRICK STREET",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461918",
            "telephone_number": "254-445-4900",
            "fax_number": "254-445-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "110212230",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316465-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "86J241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, TX

Sources for this page

Verify at the official NPI Registry.