NPIMap

Individual provider Active NPI

Timothy M Hodges, M.D.

  • Surgical Critical Care Physician
  • Shenandoah, TX
National Provider Identifier
1679676795
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
M4815 Issued in TX
Practice address
9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279
Phone
(281) 419-8400
NPI assigned
Sep 6, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01070094 IN
Surgical Critical Care Physician 2086S0102X M4815 TX Primary

Addresses

Primary practice location

9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279

Mailing address

9200 Pinecroft Dr
Suite 250
Shenandoah, TX 77380-3279
Phone (281) 419-8400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061215000158 TX Practitioner - General Surgery 9739188954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlands Surgical Associates PLLCGroup PAC ID 7810184645, 11 clinicians

Practice addresses (Care Compare)

17200 St Lukes Way
St Lukes Woodlands Hospital
The Woodlands, TX 77384-8007
Phone (936) 266-2008

9200 Pinecroft Dr
Suite 255
Shenandoah, TX 77380-3286
Phone (281) 419-8400

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (281) 364-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070094INMDSurgery Physician
M4815TXMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 15, 2014 Accepting new patients
Woodlands Surgical Associates PLLC Surgery CurrentSince Oct 1, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 15, 2014 Accepting new patients
Acute Care Surgery Texoma PLLC CurrentSince Jan 1, 2015 Accepting new patients
Surgery Inc Surgery Past Accepting new patients
Surgical Critical Care Associates, LLP Surgery PastSince Jan 1, 2022 Accepting new patients
C H Wilkinson Physician Network Past Accepting new patients

Locations

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

9200 Pinecroft Dr
Ste 250
Shenandoah, TX 77380
Phone (281) 419-8400

9200 Pinecroft Dr
Ste 255
Shenandoah, TX 77380
Phone (281) 419-8400

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: thodges65948@memorialhermann.direct-ci.com

Organizations & group practices 7

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 7

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679676795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR",
            "address_2": "SUITE 250",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803279",
            "telephone_number": "281-419-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01070094",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "M4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.