Active NPI
David Samuel Hoffman, M.D.
- Specialist
- South Miami, FL
National Provider Identifier
1164424511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0024321
- Practice address
- 7900 SW 57TH Ave
Suite #21
South Miami, FL 33143-5522 - Phone
- (305) 662-3984
- Fax
- (305) 661-1129
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME0024321 | FL | Primary |
Addresses
Primary practice location
7900 SW 57TH Ave
Suite #21
South Miami, FL 33143-5522
Mailing address
7900 SW 57TH Ave
Suite #21
South Miami, FL 33143-5522
Phone (305) 662-3984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0024321 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Kidney Group PLLC | Specialist | Current | Accepting new patients |
Locations
99 NE 8th St
Homestead, FL 33030
Phone (305) 245-0241
7900 SW 57th Ave
Ste 21
South Miami, FL 33143
Phone (305) 662-3984
Interoperability endpoints
- https://api.platform.athenahealth.com/24546/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164424511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 SW 57TH AVE",
"address_2": "SUITE #21",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435522",
"telephone_number": "305-662-3984",
"fax_number": "305-661-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 SW 57TH AVE",
"address_2": "SUITE #21",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435522",
"telephone_number": "305-662-3984",
"fax_number": "305-661-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "DAVID",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0024321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.