Active NPI
Richard M Hodge, MD
- Family Medicine Physician
- Marion, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23536
- Practice address
- 1100 35TH St
Marion, IA 52302-1710 - Phone
- (319) 377-4844
- Fax
- (319) 377-0852
- NPI assigned
- Jan 3, 2006
- Last updated
- May 22, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23536 | IA | Primary |
Addresses
Primary practice location
1100 35TH St
Marion, IA 52302-1710
Mailing address
1100 35TH St
Marion, IA 52302-1710
Phone (319) 377-4844
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026948 | Medicaid | IA | |
| 2026948 | Medicaid | IA | |
| 080080082 | Other | IA | RR MEDICARE |
| 3026948 | Medicaid | IA | |
| 1801874615 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131
1795 Hwy 64 E 1
Unitypoint Health Jones Regional Me
Anamosa, IA 52205-2112
Phone (319) 481-6291
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23536 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Finley Hospital | Family Medicine | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| The Finley Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| St Luke's Jones Regional Medical Center | Current | Accepting new patients | |
| St. Luke's Jones Regional Medical Center | Family Medicine | Current | Accepting new patients |
| Trinity Medical Center | Family Medicine | Past | Accepting new patients |
| Medical Laboratories of Eastern Iowa | Past | Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971
1100 35th St
Marion, IA 52302
Phone (319) 377-1753
2992 7th Ave
Marion, IA 52302
Phone (319) 730-8300
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- rhodge40732@direct.unitypoint.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unitypoint Health Jones Regional Medical Center Urgent Care | Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jan 1, 2024 Jan 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Unitypoint Health Jones Regional Medical Center Urgent Care
- Rural Health Clinic/Center
- Anamosa, IA
- NPI 1275015208
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 8
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine
-
dba Jones Regional Medical Center Physician Services
- Emergency Medicine Physician
- Anamosa, IA
- NPI 1942397328
Family Medicine
-
- Community/Retail Pharmacy
- Anamosa, IA
- NPI 1932740024
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba UnityPoint Health - Provider Services
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1134176308
-
dba Medlabs
- Clinical Medical Laboratory
- Cedar Rapids, IA
- NPI 1740269547
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1801874615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 35TH ST",
"city": "MARION",
"state": "IA",
"postal_code": "523021710",
"telephone_number": "319-377-4844",
"fax_number": "319-377-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 35TH ST",
"city": "MARION",
"state": "IA",
"postal_code": "523021710",
"telephone_number": "319-377-4844",
"fax_number": "319-377-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "23536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0026948",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026948",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080080082",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3026948",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801874615",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.