Individual provider Active NPI

Dennis Hidlebaugh, MD

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1801847918
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME73294 Issued in FL
Practice address
8340 Collier Blvd
Naples, FL 34114-3625
Phone
(239) 348-4453
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME73294 FL Primary

Addresses

Primary practice location

8340 Collier Blvd
Naples, FL 34114-3625

Mailing address

8340 Collier Blvd
Naples, FL 34114-3625
Phone (239) 348-4453

Other identifiers 1

IdentifierTypeStateIssuer
254457100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dennis.hidlebaugh.2@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000314 FL Practitioner - Obstetrics/Gynecology 2466455662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73294FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC CurrentSince May 5, 2006 Accepting new patients
Collier Hma Physician Management LLC CurrentSince May 5, 2006 Accepting new patients
Stephen P. Moenning M.D., P.a. Past Accepting new patients

Locations

8340 Collier Blvd
Naples, FL 34114
Phone (239) 348-4400

8340 Collier Blvd
Ste 301
Naples, FL 34114
Phone (239) 262-3399

8340 Collier Blvd
Ste 204
Naples, FL 34114
Phone (239) 348-4120

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8340 Collier Blvd
Ste 406
Naples, FL 34114
Phone (239) 354-4316

Interoperability endpoints

  • Direct secure messaging: dennis.hidlebaugh.2@4692.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1801847918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143625",
            "telephone_number": "239-348-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143625",
            "telephone_number": "239-348-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDLEBAUGH",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME73294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254457100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dennis.hidlebaugh.2@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6101 Pine Ridge Rd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341193900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.