Active NPI
David W Hobbs, MD
- Family Medicine Physician
- South Hero, VT
National Provider Identifier
1063589851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420006849
- Practice address
- 564 US RT #2
South Hero, VT 05486 - Phone
- (802) 372-4687
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 170291-1 | NY | |
| Family Medicine Physician | 207Q00000X | 0420006849 | VT | Primary |
Addresses
Primary practice location
564 US RT #2
South Hero, VT 05486
Mailing address
564 US RT #2
South Hero, VT 05486
Phone (802) 372-4687
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141338471 | Other | NY | FIDELIS |
| 141338471 | Other | NY | AETNA |
| 90031 | Other | NY | MVP |
| 114406 | Other | NY | VALUE OPTIONS |
| 141338471 | Other | NY | EXCELLUS |
| 141338471 | Other | NY | GHI |
| 61Q881 | Other | EMPIRE BC | |
| 141338471 | Other | UNITED HEALTHCARE | |
| 000490094001 | Other | NY | BSNENY |
| 01192281 | Medicaid | NY | |
| 141338471 | Other | NY | MARTINS POINT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170291-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Burlington, VT
- NPI 1083832851
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1063589851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 US RT #2",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "05486",
"telephone_number": "802-372-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 US RT #2",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "05486",
"telephone_number": "802-372-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "DAVID",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "170291-1",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "0420006849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "90031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "114406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "141338471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "61Q881",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "141338471",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000490094001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01192281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARTINS POINT",
"identifier": "141338471",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hero, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.