Individual provider Active NPI

Judith B Hooffstetter, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1114932506
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
97322 Issued in NM
Practice address
9412 Bear Mountain TRL NE
Albuquerque, NM 87113-1335
Phone
(505) 856-7209
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 97322 NM Primary

Addresses

Primary practice location

9412 Bear Mountain TRL NE
Albuquerque, NM 87113-1335

Mailing address

9412 Bear Mountain TRL NE
Albuquerque, NM 87113-1335
Phone (505) 856-7209

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050307000346 NM Practitioner - Internal Medicine 1658329099 Reassigns benefits to 1 organization
I20140310001800 CA Practitioner - Internal Medicine 1658329099 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97322NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Apr 27, 2014 Accepting new patients
Ipc Hospitalists of New Mexico, Inc Internal Medicine CurrentSince Aug 24, 2013 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Apr 27, 2014 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
West Florida Regional Medical Center Internal Medicine Past Accepting new patients

Locations

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130

8210 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113
Phone (505) 858-1222

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

8208 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113
Phone (505) 699-5654

500 Louisiana Blvd NE
Albuquerque, NM 87108
Phone (505) 255-1717

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1114932506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 BEAR MOUNTAIN TRL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131335",
            "telephone_number": "505-856-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 BEAR MOUNTAIN TRL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131335",
            "telephone_number": "505-856-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOFFSTETTER",
        "first_name": "JUDITH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "97322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1425 S Main St",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945965318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.