Active NPI
Leroy W Hodges, M.D.
- Surgery Physician
- Harlan, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-50086
- Practice address
- 1220 Chatburn Ave
Harlan, IA 51537-2009 - Phone
- (712) 755-4376
- Fax
- (712) 755-4347
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 66366 | TN | |
| Surgery Physician | 208600000X | MD-50086 | IA | Primary |
| Surgery Physician | 208600000X | 30115 | MN |
Addresses
Primary practice location
1220 Chatburn Ave
Harlan, IA 51537-2009
Mailing address
1220 Chatburn Ave
Harlan, IA 51537-2009
Phone (712) 755-4376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961423100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302001816 | AL | Practitioner - General Surgery | 2163430554 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vaughan Physician Practices, LLC
Practice addresses (Care Compare)
1023 Medical Ctr Pkwy
Suite 309
Selma, AL 36701-7738
Phone (334) 875-7509
Hospital & facility affiliations
- Vaughan Regional Medical Center Parkway Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 73 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 34 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30115 | MN | MD | Surgery Physician |
| 66366 | TN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaughan Physician Practices, LLC | Current | Accepting new patients | |
| Vaughan Physician Practices LLC | Current | Accepting new patients | |
| Vaughan Physician Practices LLC | Surgery | Current | Accepting new patients |
| Hodges Surgical Clinic, P.a. | Surgery | Past | Accepting new patients |
| Vaughan Physician Practices LLC | Surgery | Past | Accepting new patients |
Locations
1023 Medical Center Pkwy
Ste 300
Selma, AL 36701
Phone (334) 683-9085
1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173
1023 Medical Center Pkwy
Ste 309
Selma, AL 36701
Phone (334) 875-7509
1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952
Interoperability endpoints
- https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
- le.roy.hodges.1@3503.direct.athenahealth.com
- leroy.hodges.1@19364.direct.athenahealth.com
- leroy.hodges.1@3503.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Selma, AL
- NPI 1063908325
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": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1700856432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 CHATBURN AVE",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372009",
"telephone_number": "712-755-4376",
"fax_number": "712-755-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 CHATBURN AVE",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372009",
"telephone_number": "712-755-4376",
"fax_number": "712-755-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "LEROY",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "66366",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "MD-50086",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "30115",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "961423100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.