Individual provider Active NPI

Keith B. Hodge, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1962515452
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25483 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 208
Baton Rouge, LA 70808-4300
Phone
(225) 765-8826
NPI assigned
Aug 17, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25483 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 208
Baton Rouge, LA 70808-4300

Mailing address

Dept at 952639
Atlanta, GA 31192-2639
Phone (877) 485-4474

Other identifiers 2

IdentifierTypeStateIssuer
P00235777OtherRAILROAD MEDICARE
1575623MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20031209000853 LA Practitioner - Emergency MedicinePractitioner - Pediatric MedicinePractitioner - Internal Medicine 3274439401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Morehouse School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physician Associates, LLCGroup PAC ID 1759317092, 78 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-8826

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25483LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Emergency Physicians Group LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Ascension Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Professional Emergency Physician Associates, LLC Emergency Medicine CurrentSince Oct 5, 2010 Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients

Locations

Dept AT 952639
Atlanta, GA 31192

Dept AT952639
Atlanta, GA 31192

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

7777 Hennessy Blvd
Ste 208
Baton Rouge, LA 70808
Phone (225) 765-8826

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

Interoperability endpoints

  • Direct secure messaging: khodge15062@direct.casso.us.com

Organizations & group practices 6

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 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1962515452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT AT 952639",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311922639",
            "telephone_number": "877-485-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 208",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "KEITH",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "25483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235777",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575623",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.