Active NPI
David D Hazlett Jr., MD
- Diagnostic Radiology Physician
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01064967A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200910420 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Baptist Health Hardin
- Baptist Health Floyd
- Baptist Health Lexington
- Harrison County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 54.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| Northgate Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Radiology Associates Inc | Diagnostic Radiology | Past | 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.
-
- Hospitalist Physician
- Louisville, KY
- NPI 1164751756
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1417697525
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.