Active NPI
Wendell Walter Hoffman, MD
- Infectious Disease Physician
- Sioux Falls, SD
National Provider Identifier
1265485478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 1770
- Practice address
- 1205 S Grange Ave
Ste 401
Sioux Falls, SD 57105-0407 - Phone
- (605) 328-8120
- Fax
- (605) 328-8121
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1770 | SD | |
| Internal Medicine Physician | 207R00000X | 28139 | IA | |
| Internal Medicine Physician | 207R00000X | 025994 | MN | |
| Infectious Disease Physician | 207RI0200X | 025994 | MN | |
| Infectious Disease Physician | 207RI0200X | 28139 | IA | |
| Infectious Disease Physician | 207RI0200X | 1770 | SD | Primary |
Addresses
Primary practice location
1205 S Grange Ave
Ste 401
Sioux Falls, SD 57105-0407
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 312-7607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28139 | IA | MD | Internal Medicine Physician |
| 025994 | MN | MD | Internal Medicine Physician |
| 1770 | SD | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1265485478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-312-7607",
"fax_number": "605-312-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S GRANGE AVE",
"address_2": "STE 401",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050407",
"telephone_number": "605-328-8120",
"fax_number": "605-328-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "WENDELL",
"middle_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "1770",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "28139",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "025994",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": "025994",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IA",
"license": "28139",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "SD",
"license": "1770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.