Active NPI
Michael S Hoffman, DPM
- Foot & Ankle Surgery Podiatrist
- Bloomington, IN
National Provider Identifier
1083635866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000315A
- Practice address
- 203 W 1St St
Bloomington, IN 47403-2504 - Phone
- (812) 339-1675
- Fax
- (812) 339-5271
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000315A | IN | Primary |
Addresses
Primary practice location
203 W 1St St
Bloomington, IN 47403-2504
Mailing address
203 W 1St St
Bloomington, IN 47403-2504
Phone (812) 339-1675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100224230 | Medicaid | IN | |
| 480029018 | Other | IN | RRMR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000315A | IN | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1083635866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 W 1ST ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032504",
"telephone_number": "812-339-1675",
"fax_number": "812-339-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 W 1ST ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032504",
"telephone_number": "812-339-1675",
"fax_number": "812-339-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000315A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100224230",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMR",
"identifier": "480029018",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.