Individual provider Active NPI

David Randall Hofius, D.O.

  • Surgery Physician
  • Morgantown, WV
National Provider Identifier
1013903285
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4165 Issued in WV
Practice address
3000 Mon Health Medical Park Dr Ste 3300
Morgantown, WV 26505-1169
Phone
(304) 599-1448
Fax
(304) 599-5335
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4165 WV Primary
Surgery Physician 208600000X OS008334L PA

Addresses

Primary practice location

3000 Mon Health Medical Park Dr Ste 3300
Morgantown, WV 26505-1169

Mailing address

3000 Mon Health Medical Park Dr Ste 3300
Morgantown, WV 26505-1169
Phone (304) 599-1448

Other identifiers 1

IdentifierTypeStateIssuer
0014943080009MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20231019003771 WV Practitioner - General Surgery 5991693103 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS008334LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation Surgery CurrentSince Jan 22, 2024 Accepting new patients
Monongalia County General Hospital Company CurrentSince Sep 1, 2023 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Jan 22, 2024 Accepting new patients
Allied Pain Treatment Center Past Accepting new patients

Locations

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1000 Mon Health Medical Park Dr
Ste 1100
Morgantown, WV 26505
Phone (304) 598-2200

3000 Mon Health Medical Park Dr
Ste 3300
Morgantown, WV 26505
Phone (304) 599-1448

600 Suncrest Town Centre Dr
Ste 310
Morgantown, WV 26505
Phone (304) 598-2200

Interoperability endpoints

  • Direct secure messaging: david.hofius.1@15594.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Organizations & group practices 4

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1013903285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051169",
            "telephone_number": "304-599-1448",
            "fax_number": "304-599-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MON HEALTH MEDICAL PARK DR STE 3300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051169",
            "telephone_number": "304-599-1448",
            "fax_number": "304-599-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFIUS",
        "first_name": "DAVID",
        "middle_name": "RANDALL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "4165",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS008334L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014943080009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.