Tracy S Hofeditz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29068 Issued in CO

Practice address

325 S Teller Street
Suite 250
Lakewood, CO 80226

Phone

(303) 232-8383

Fax

(303) 232-8207

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Metro Community Provider Network Inc

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1558727883
  Medicare reassignment NPD
• Metro Community Provider Network, Inc.

  dba STRIDE CHC - Peoria Pharmacy

  • Community/Retail Pharmacy
  • Aurora, CO
  • NPI 1255591780
  NPD
• Metro Community Provider Network, Inc.

  dba STRIDE Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Englewood, CO
  • NPI 1841458882
  NPD

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1194722561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S TELLER STREET",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-232-8383",
            "fax_number": "303-232-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S TELLER STREET",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-232-8383",
            "fax_number": "303-232-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFEDITZ",
        "first_name": "TRACY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01290683",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Hockman, OTR/L
• Amanda Hodder, CMT
• Inka Hodes, LMT
• Amanda Hodge, LPC, LAC
• Matthew Robards Hodge
• Andrew F Hofer
• Walter Stephen Hoffhines, MD
• Kristin Kari Hoffman, D.C.
• Lydia Hoffmann, LPC
• Bailey Hoffpauer

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.