Individual provider Active NPI

David Samuel Hoffman, M.D.

  • Specialist
  • South Miami, FL
National Provider Identifier
1164424511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0024321 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080801000370 FL Practitioner - NephrologyPractitioner - Internal Medicine 5991726259 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0024321FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Kidney Group PLLC Specialist CurrentSince Jul 1, 1972 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

  • FHIR API: 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.

Verify at the official NPI Registry.