Individual provider Active NPI

David M. Hoddy, M.D.

  • Pediatrics Physician
  • Georgetown, KY
National Provider Identifier
1932215027
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27933 Issued in KY
Practice address
1162 Lexington Rd
Georgetown, KY 40324-9330
Phone
(502) 863-6426
Fax
(502) 868-9724
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27933 KY Primary

Addresses

Primary practice location

1162 Lexington Rd
Georgetown, KY 40324-9330

Mailing address

1162 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-6426

Other identifiers 4

IdentifierTypeStateIssuer
1200219OtherKYUNITED HEALTH CARE
000000049848OtherKYANTHEM
4516896OtherKYAETNA
64279334MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david-hoddy@georgetownpeds.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180927001310 KY Practitioner - Pediatric Medicine 8426354184

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Louisville School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1162 Lexington Rd
Georgetown, KY 40324-9330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Pediatrics, PSC Current Accepting new patients
Georgetown Community Hospital LLC Past Accepting new patients

Locations

1162 Lexington Rd
Georgetown, KY 40324
Phone (502) 863-6426

Interoperability endpoints

  • Direct secure messaging: david-hoddy@georgetownpeds.e-mdsdirect.com

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1932215027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-6426",
            "fax_number": "502-868-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 LEXINGTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-6426",
            "fax_number": "502-868-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODDY",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "27933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1200219",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000049848",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4516896",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64279334",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david-hoddy@georgetownpeds.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Georgetown Peds",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1162 Lexington Rd",
            "city": "Georgetown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403249330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.