Individual provider Active NPI

Hobie Fuerstman

  • Family Medicine Physician
  • Colchester, VT
National Provider Identifier
1205220712
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16541 Issued in CA
Practice address
905 Roosevelt Hwy Ste 210
Colchester, VT 05446-4475
Phone
(802) 879-6544
Fax
(802) 879-0022
NPI assigned
Mar 23, 2015
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 16541 CA Primary

Addresses

Primary practice location

905 Roosevelt Hwy Ste 210
Colchester, VT 05446-4475

Mailing address

905 Roosevelt Hwy Ste 210
Colchester, VT 05446-4475
Phone (802) 879-6544

Other practice location 1

98 Gough St
San Francisco, CA 94102
Phone (415) 230-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20210203001637 VT Practitioner - Family Practice 5193071199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia Col of Osteo Med, Sewanee, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

905 Roosevelt Hwy
Suite 210
Colchester, VT 05446-4475
Phone (802) 879-6544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16541CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hobie Fuerstman DO PLC Family Medicine CurrentSince Jan 21, 2021 Accepting new patients
Hobie Fuerstman DO PLC Family Medicine Past Accepting new patients
Hobie Fuerstman DO PLC Family Medicine Past Accepting new patients

Locations

905 Roosevelt Hwy
Ste 210
Colchester, VT 05446
Phone (802) 861-3380

Interoperability endpoints

  • Direct secure messaging: hobie.fuerstman@302823630831620.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1205220712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY STE 210",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-879-6544",
            "fax_number": "802-879-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ROOSEVELT HWY STE 210",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464475",
            "telephone_number": "802-879-6544",
            "fax_number": "802-879-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Gough St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94102",
            "country_code": "US",
            "telephone_number": "415-230-5489",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERSTMAN",
        "first_name": "HOBIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.