Individual provider Active NPI

Andrew Paul Hoffman, M.D.

  • Surgery Physician
  • Mobridge, SD
National Provider Identifier
1104934389
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036117563 Issued in IL
Practice address
1309 10TH Ave W
Mobridge, SD 57601-1146
Phone
(605) 845-3692
NPI assigned
Aug 28, 2006
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD038860E PA
Surgery Physician 208600000X 036117563 IL Primary

Addresses

Primary practice location

1309 10TH Ave W
Mobridge, SD 57601-1146

Mailing address

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

Other identifiers 1

IdentifierTypeStateIssuer
036117563MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, TX, SD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070330000525 IL Practitioner - General SurgeryPractitioner - Emergency Medicine 1456246222 Reassigns benefits to 3 organizations
I20221221000335 IN Practitioner - General Surgery 1456246222 Reassigns benefits to 1 organization
I20240830003675 TX Practitioner - General Surgery 1456246222 Reassigns benefits to 1 organization
I20260511003114 SD Practitioner - General Surgery 1456246222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians
Mobridge Regional HospitalGroup PAC ID 6507776135, 20 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117563ILMDSurgery Physician
MD038860EPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC CurrentSince Jun 21, 2023 Accepting new patients
In Hospitalists, LLC CurrentSince May 1, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Nov 16, 2022 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Nov 16, 2022 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Surgery CurrentSince Apr 16, 2023 Accepting new patients
Mobridge Regional Hospital Past Accepting new patients
Piedmont Surgical Clinic, P.a. Past Accepting new patients
Piedmont Surgical Clinic, PA Surgery Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • Direct secure messaging: ahoffman422401@direct-ehr-ssmhc.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/901579

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1104934389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011146",
            "telephone_number": "605-845-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011146",
            "telephone_number": "605-845-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD038860E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036117563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobridge, SD

Sources for this page

Verify at the official NPI Registry.