Individual provider Active NPI

Daniel Morse Hoffman, M.D.

  • Dermatology Physician
  • Williston, ND
National Provider Identifier
1205006897
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15286 Issued in ND
Practice address
1213 15TH Ave W Ste 102
Williston, ND 58801-3800
Phone
(701) 234-8860
Fax
(701) 234-8924
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 170293 NY
Dermatology Physician 207N00000X 55291-20 WI
Dermatology Physician 207N00000X DR.0058256 CO
Dermatology Physician 207N00000X 15286 ND Primary

Addresses

Primary practice location

1213 15TH Ave W Ste 102
Williston, ND 58801-3800

Mailing address

PO Box 2010
Fargo, ND 58122-2484

Other practice location 1

3701 S Clarkson St
Englewood, CO 80113-3958
Phone (303) 761-7797

Other identifiers 3

IdentifierTypeStateIssuer
1205006897MedicaidWI
HOFFMDANOtherWIMERCYCARE INSURANCE
P00973665DB7792OtherWIRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KS, ND, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110831000729 WI Practitioner - Dermatology 2264602119 Reassigns benefits to 1 organization
I20171130003027 KS Practitioner - Dermatology 2264602119 Reassigns benefits to 1 organization
I20181019002299 ND Practitioner - Dermatology 2264602119 Reassigns benefits to 1 organization
I20250129002610 NM Practitioner - Dermatology 2264602119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Win Dermatology PCGroup PAC ID 6901221597, 6 clinicians

Practice addresses (Care Compare)

1213 15TH Ave W
Suite 102
Williston, ND 58801-3800
Phone (701) 234-8860

305 W 15TH St
Suite 103
Liberal, KS 67901-2455
Phone (701) 800-5110

3305 N Grimes St
Hobbs, NM 88240-1219
Phone (701) 800-5110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as individual
Quality
76.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision169
Removal of skin lesions844
Removal of skin cancer398
Removal of nail tissue1-10
Removal or shaving of skin growth27
Skin biopsy356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15286NDMDDermatology Physician
170293NYMDDermatology Physician
55291-20WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Win Dermatology PC Dermatology CurrentSince Mar 6, 2020 Accepting new patients
Asarch Surgery Center PastSince Mar 27, 2017 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

305 W 15th St
Ste 103
Liberal, KS 67901
Phone (620) 604-9698

3712 Lockport St
Ste B
Bismarck, ND 58503
Phone (701) 223-8873

30 7th St W
Dickinson, ND 58601
Phone (701) 264-4000

4656 40th Ave S
Fargo, ND 58104
Phone (701) 234-2431

4656 40th Ave S
Ste 130
Fargo, ND 58104
Phone (701) 234-8860

721 1st Ave S
Ste A
Jamestown, ND 58401
Phone (701) 368-4380

1350 20th Ave SW
Minot, ND 58701
Phone (701) 501-8220

2111 Landmark Cir NW
Minot, ND 58703
Phone (701) 857-8031

1213 15th Ave W
Ste 102
Williston, ND 58801
Phone (701) 234-8860

3305 N Grimes St
Hobbs, NM 88240
Phone (575) 392-0120

7 N Brown St
Rhinelander, WI 54501

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00276

Organizations & group practices 3

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 3

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1205006897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581222484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 15TH AVE W STE 102",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013800",
            "telephone_number": "701-234-8860",
            "fax_number": "701-234-8924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 S Clarkson St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133958",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DANIEL",
        "middle_name": "MORSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "170293",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "55291-20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0058256",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205006897",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "HOFFMDAN",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00973665DB7792",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.