Jeffrey D Hudson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01056335A Issued in IN

Practice address

7232 Engle Rd
Fort Wayne, IN 46804-2222

Phone

(260) 436-7205

Fax

(260) 432-1339

NPI assigned

Jul 7, 2005

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology Consultants of Fort Wayne PCGroup PAC ID 4789657974, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Merit-based Incentive Payment System (MIPS)

Final score

92.94 of 100Reported as group

Quality

90.32

Promoting interoperability

100

Improvement activities

40

Cost

86.14

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhudson@ophc.emadirect.md

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.

• Ophthalmology Consultants of Fort Wayne, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1861476210
  Medicare reassignment Care Compare group NPD
• Ophthalmology Consultants of Fort Wayne PC

  dba Surgery Center of Ophthalmology Consultants

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1194708792
  NPD
• Ophthalmology Consultants of Fort Wayne, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1457334054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1831196765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-436-7205",
            "fax_number": "260-432-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-436-7205",
            "fax_number": "260-432-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01056335A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00153192",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200487390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Carol Hubler
• Dominic John-Paul Hubley, NP-C
• Kronda Nicole Huddleston
• John C. Huddlestone, M.S., LCSW, LMFT
• Ashley Margaret Hudson, BCBA
• Jenna Hudson, RBT
• Michelle L Hudson, C.R.N.A.
• Stacey A Hudson, MD
• Joy Lynne Huelsman, ATC
• Jessica Laine Huett, EDD, LAT, ATC

• Ophthalmology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.

Verify at the official NPI Registry.