DAVITA MABOURAKH HODGES MD
NPI 1639675937
Internal Medicine - Geriatric Medicine in Tamarac, FL

Q: What is Davita Hodges's NPI number?

The NPI number for Davita Hodges is 1639675937. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Davita Hodges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Davita Hodges was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment

6455 W COMMERCIAL BLVD, TAMARAC, FL 33319(549) 720-1414(954) 720-4727 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2023, Nov 8, 2022, Jan 12, 2022 (3 updates tracked since 2022).

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About Davita Mabourakh Hodges Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVITA MABOURAKH HODGES MD (NPI 1639675937) is an individual geriatric medicine provider in Tamarac, Florida, licensed in Florida (ME153182) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639675937

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDAVITA MABOURAKH HODGESCredential: MD

Location Address6455 W COMMERCIAL BLVDTamarac, FL 33319-2110

Mailing Address6455 W Commercial BlvdTamarac, FL 33319-2110 · (954) 720-1414 · Fax (954) 720-4727

Phone(549) 720-1414

Fax(954) 720-4727

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 4, 2018

Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration

NPPES CertifiedJuly 15, 2025

✔ NPI 1639675937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Licenses✔ Licensed in FL · ME153182✔ Licensed in NC · RTL22-0632

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11140800 (NJ)

6455 W COMMERCIAL BLVD, Tamarac, FL 33319

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Davita Mabourakh Hodges Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931582632

PECOS Enrollment IDI20230705003210

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Davita Hodges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Broward Internal Medicine LLC

0.1 mi

Internal Medicine

6451 W COMMERCIAL BLVD
Tamarac, FL 33319

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1871765727 (954) 720-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

92 services50 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

38 services38 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

37 services37 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

31 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services21 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33319 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davita Hodges's NPI number?

The NPI number for Davita Hodges is 1639675937. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Davita Hodges located?

Davita Hodges practices at 6455 W Commercial Blvd, Tamarac, FL 33319. The listed phone number is (549) 720-1414.

What is Davita Hodges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Davita Hodges enrolled in Medicare?

Yes. Davita Hodges is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Davita Hodges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davita Hodges reassigns Medicare benefits to West Broward Internal Medicine LLC (Tamarac, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davita Hodges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davita Hodges accept?

Health plans from 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Davita Hodges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davita Hodges was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.