Individual provider Active NPI

Howard L Offenberg, MD

  • Rheumatology Physician
  • Ormond Beach, FL
National Provider Identifier
1164532925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME58274 Issued in FL
Practice address
325 N Clyde Morris Blvd
Ste 350
Ormond Beach, FL 32174
Phone
(386) 673-7227
Fax
(386) 673-9940
NPI assigned
Aug 30, 2006
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
Rheumatology Physician 207RR0500X ME58274 FL Primary

Addresses

Primary practice location

325 N Clyde Morris Blvd
Ste 350
Ormond Beach, FL 32174

Mailing address

40 SW 12TH Street
Unit C101
Ocala, FL 34474
Phone (352) 351-3868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000067 FL Practitioner - Internal MedicinePractitioner - Rheumatology 4284534157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 Clyde Morris Blvd
Suite 350
Ormond Beach, FL 32174-8188
Phone (386) 673-7227

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3515FLMDClinical Social Worker
ME58274FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard L. Offenberg, MD,PL CurrentSince Dec 31, 2009 Accepting new patients
Ozarks Medical Center Rheumatology Past Accepting new patients

Locations

40 SW 12th St
Ste C101
Ocala, FL 34471
Phone (352) 351-3868

325 Clyde Morris Blvd
Ste 350
Ormond Beach, FL 32174
Phone (386) 673-7227

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164532925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SW 12TH STREET",
            "address_2": "UNIT C101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-351-3868",
            "fax_number": "352-351-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N CLYDE MORRIS BLVD",
            "address_2": "STE 350",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-7227",
            "fax_number": "386-673-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFENBERG",
        "first_name": "HOWARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME58274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.