Individual provider Active NPI

Richard M Hodge, MD

  • Family Medicine Physician
  • Marion, IA
National Provider Identifier
1801874615
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23536 Issued in IA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0026948MedicaidIA
2026948MedicaidIA
080080082OtherIARR MEDICARE
3026948MedicaidIA
1801874615MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000628 IA Practitioner - Family PracticePractitioner - Other (Physician) 6800931221 Reassigns benefits to 3 organizations

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

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23536IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital Family Medicine CurrentSince Aug 23, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital CurrentSince Aug 23, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Dec 1, 1994 Accepting new patients
St Luke's Jones Regional Medical Center CurrentSince Jul 1, 2021 Accepting new patients
St. Luke's Jones Regional Medical Center Family Medicine CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Unitypoint Health Jones Regional Medical Center Urgent CareAnamosa, IA, CCN 168614 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.

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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.