Active NPI
Deirdre Megan Hofman, PA-C
- Physician Assistant
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085008168
- 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, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5614 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Orthopaedic Group, PC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Chattanooga, TN
- NPI 1548203821
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba Center for Sports Medicine and Orthopaedics
- Orthopaedic Surgery Physician
- Dayton, TN
- NPI 1013899038
-
- Pain Medicine (Anesthesiology) Physician
- Orland Park, IL
- NPI 1598176661
-
dba Center for Sports Medicine and Orthopaedics
- Orthopaedic Surgery Physician
- Hixson, TN
- NPI 1619165834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.