Active NPI
David Randall Hofius, D.O.
- Surgery Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014943080009 | Medicaid | PA |
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
Enrollment records 1
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008334L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Memorial Hospital Corporation | Surgery | Current | Accepting new patients |
| Monongalia County General Hospital Company | Current | Accepting new patients | |
| Preston Memorial Hospital Corporation | Current | 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
- david.hofius.1@15594.direct.athenahealth.com
- 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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
-
- Emergency Medicine Physician
- Kingwood, WV
- NPI 1841230661
Surgery
-
- Critical Access Hospital
- Kingwood, WV
- NPI 1013950054
-
- Specialist
- Boardman, OH
- NPI 1457559163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.