Individual provider Active NPI

David D Hazlett Jr., MD

  • Diagnostic Radiology Physician
  • Jeffersonville, IN
National Provider Identifier
1710180799
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01064967A Issued in IN
Practice address
1214 Spring Street
Suite 2
Jeffersonville, IN 47130-3704
Phone
(812) 283-5950
Fax
(812) 285-5439
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01064967A IN Primary

Addresses

Primary practice location

1214 Spring Street
Suite 2
Jeffersonville, IN 47130-3704

Mailing address

1214 Spring St
Suite 2
Jeffersonville, IN 47130-3704
Phone (812) 283-5950

Other identifiers 1

IdentifierTypeStateIssuer
200910420MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080624000160 IN Practitioner - Diagnostic Radiology 2062511595 Reassigns benefits to 2 organizations
I20090210000094 KY Practitioner - Diagnostic Radiology 2062511595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians
Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians

Practice addresses (Care Compare)

1313 Saint Anthony PL
Louisville, KY 40204-1740
Phone (502) 587-7001

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

807 Northgate Blvd
New Albany, IN 47150-6419

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5444

Hospital & facility affiliations

  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
54.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Jun 16, 2011 Accepting new patients
Northgate Medical Imaging LLC Diagnostic Radiology CurrentSince Nov 1, 2009 Accepting new patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
KND Development 59, LLC CurrentSince Jun 16, 2011 Accepting new patients
Radiology Associates Inc Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

313 Federal Dr NW
Ste 20
Corydon, IN 47112
Phone (812) 734-3920

1214 Spring St
Ste 2
Jeffersonvlle, IN 47130
Phone (812) 206-8002

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

807 Northgate Blvd
New Albany, IN 47150
Phone (812) 206-8002

1919 State St
Ste 24
New Albany, IN 47150
Phone (502) 364-0902

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

2530 Sir Barton Way
Ste 250
Lexington, KY 40509
Phone (859) 639-0030

1313 Saint Anthony Pl
Louisville, KY 40204
Phone (502) 587-7001

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.

Hospital & facility affiliations 8

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1710180799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 SPRING ST",
            "address_2": "SUITE 2",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303704",
            "telephone_number": "812-283-5950",
            "fax_number": "812-285-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 SPRING STREET",
            "address_2": "SUITE 2",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303704",
            "telephone_number": "812-283-5950",
            "fax_number": "812-285-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETT",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01064967A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200910420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.