Individual provider Active NPI

Alicia S Hodge, M.D.

  • Internal Medicine Physician
  • Wenatchee, WA
National Provider Identifier
1720036411
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60453104 Issued in WA
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
NPI assigned
May 4, 2006
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052045 GA
Hospitalist Physician 208M00000X 48468 AZ
Internal Medicine Physician 207R00000X MD60453104 WA Primary

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-6661

Other practice location 2

269 S Candy Ln
Cottonwood, AZ 86326-4158
Phone (928) 639-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, NC, WA, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060815000118 GA Practitioner - HospitalistPractitioner - Internal Medicine 8325041213 Reassigns benefits to 3 organizations
I20071019000396 AL Practitioner - Internal Medicine 8325041213 Reassigns benefits to 3 organizations
I20090312000427 NC Practitioner - Internal Medicine 8325041213 Reassigns benefits to 2 organizations
I20141215000376 WA Practitioner - Internal Medicine 8325041213 Reassigns benefits to 2 organizations
I20170223000164 AZ Practitioner - Internal Medicine 8325041213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians
Governor Juan F Luis Hospital and Medical CenterGroup PAC ID 1153233804, shared by 2 NPIs, 41 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Phone (340) 778-6311

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60453104WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Apr 20, 2019 Accepting new patients
Southeastern Medical Group, PC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Jul 15, 2019 Accepting new patients
Ecm Health Group LLC Hospitalist CurrentSince May 7, 2023 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Redmond Hospital Services LLC Past Accepting new patients
Southeastern Physician Services PC Internal Medicine Past Accepting new patients
Cogent Healthcare of Minnesota, PC Family Medicine Past Accepting new patients
Carrollton Pediatric Clinic, P.C. Internal Medicine Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Wellstar Physicians Group Douglas Hospitalists, LLC Internal Medicine Past Accepting new patients
RCHP - Florence LLC Past Accepting new patients
Primedoc of Brunswick Inc Internal Medicine Past Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Southeastern Surgical Associates Past Accepting new patients

Locations (25 of 34)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

501 Redmond Rd NW
Fl 6
Rome, GA 30165
Phone (706) 368-8452

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

Interoperability endpoints

  • Direct secure messaging: aliciahodge@mmc.medalliesdirect.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 10

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1720036411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-6661",
            "fax_number": "509-474-6606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S Candy Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264158",
            "country_code": "US",
            "telephone_number": "928-639-5588",
            "fax_number": "928-639-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ALICIA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052045",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "48468",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60453104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.