Individual provider Active NPI

David Fahnestock Hoffman, MD

  • Family Medicine Physician
  • Kemblesville, PA
National Provider Identifier
1043309289
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD049851L Issued in PA
Practice address
20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347
Phone
(610) 255-4466
Fax
(610) 255-4479
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD049851L PA Primary

Addresses

Primary practice location

20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347

Mailing address

20 McMaster Boulevard
Suite 1
Kemblesville, PA 19347
Phone (610) 255-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031210000963 PA Practitioner - Family Practice 0648176503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 McMaster Blvd
PO Box 400
Kemblesville, PA 19347-0400

20 McMaster Blvd P O Box
Suite 400
Kemblesville, PA 19347-0400

PO Box
Suite 400
Kemblesville, PA 19347-0400
Phone (610) 255-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049851LPAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: david.hoffman.1@25196.direct.athenahealth.com

Organizations & group practices 1

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.

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1043309289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MCMASTER BOULEVARD",
            "address_2": "SUITE 1",
            "city": "KEMBLESVILLE",
            "state": "PA",
            "postal_code": "19347",
            "telephone_number": "610-255-4466",
            "fax_number": "610-255-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MCMASTER BOULEVARD",
            "address_2": "SUITE 1",
            "city": "KEMBLESVILLE",
            "state": "PA",
            "postal_code": "19347",
            "telephone_number": "610-255-4466",
            "fax_number": "610-255-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DAVID",
        "middle_name": "FAHNESTOCK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD049851L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kemblesville, PA

Sources for this page

Verify at the official NPI Registry.