Individual provider Active NPI

Deirdre Megan Hofman, PA-C

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1073133617
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085008168 Issued in IL
Practice address
60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522
Phone
(708) 963-0069
NPI assigned
Apr 23, 2020
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085008168 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

60 Orland Square Dr Ste 101
Orland Park, IL 60462-6522

Mailing address

60 Orland Square Dr
Orland Park, IL 60462-6548

Other practice location 1

600 W 22nd St
Oak Brook, IL 60523-1947
Phone (708) 963-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210310000084 IL Practitioner - Physician Assistant 3577979962 Reassigns benefits to 1 organization
I20231004001121 TN Practitioner - Physician Assistant 3577979962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5614TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Orthopaedic Group, PC CurrentSince Aug 30, 2023 Accepting new patients
Chattanooga Orthopaedic Group PC Past Accepting new patients
Karas PC Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients

Locations

719 Cook Dr
Ste 103
Athens, TN 37303
Phone (423) 339-3340

1949 Gunbarrel Rd
Ste 150
Chattanooga, TN 37421
Phone (423) 296-0022

2205 McCallie Ave
Ste 302
Chattanooga, TN 37404

2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395

2400 N Ocoee St
Cleveland, TN 37311
Phone (423) 476-5547

7693 Rhea County Hwy
Ste 8
Dayton, TN 37321
Phone (423) 305-7980

2051 Hamill Rd
Ste 3000
Hixson, TN 37343

24 Mountain View Dr
Ste A
Kimball, TN 37347
Phone (423) 942-9171

Interoperability endpoints

  • Direct secure messaging: deirdre.hofman.1@519.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1073133617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626522",
            "telephone_number": "708-963-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231947",
            "country_code": "US",
            "telephone_number": "708-963-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMAN",
        "first_name": "DEIRDRE",
        "middle_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008168",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.