Individual provider Active NPI

Despina E Hoffman, D.O.

  • Nephrology Physician
  • Greenfield, MA
National Provider Identifier
1285950816
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
277445 Issued in MA
Practice address
115 Wildwood Ave
Greenfield, MA 01301-1215
Phone
(413) 773-5797
Fax
(413) 773-9009
NPI assigned
Apr 7, 2010
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 277445 MA Primary

Addresses

Primary practice location

115 Wildwood Ave
Greenfield, MA 01301-1215

Mailing address

PO Box 366
Ludlow, MA 01056-0366
Phone (413) 773-5797

Other identifiers 1

IdentifierTypeStateIssuer
201288940MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181204003674 MA Practitioner - Nephrology 2769626076 Reassigns benefits to 1 organization
I20190201001750 NH Practitioner - Nephrology 2769626076 Reassigns benefits to 1 organization
I20240129001765 VT Practitioner - Nephrology 2769626076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care and Transplant Services of New England PCGroup PAC ID 1658655352, 13 clinicians

Practice addresses (Care Compare)

115 Wildwood Ave
Greenfield, MA 01301-1215
Phone (413) 773-0001

17 Belmont Ave
Suite 3401C
Brattleboro, VT 05301-7601
Phone (802) 306-7776

426 B Winchester St
Keene, NH 03431-3912
Phone (413) 773-5797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277445MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Memorial Hospital Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Kidney Care and Transplant Services of New England, PC Single Specialty CurrentSince Dec 1, 2018 Accepting new patients

Locations

115 Wildwood Ave
Greenfield, MA 01301
Phone (413) 773-0001

208 Ashley Ave
West Springfield, MA 01089
Phone (413) 747-4170

426B Winchester St
Keene, NH 03431
Phone (413) 773-5797

17 Belmont Ave
Ste 3401C
Brattleboro, VT 05301
Phone (802) 275-3699

Interoperability endpoints

  • Direct secure messaging: dhoffman18667@direct.acumenmd.com
  • Direct secure messaging: dhoffman351623@direct.dartmouth-hitchcock.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

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

Hospital & facility affiliations 9

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1285950816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560366",
            "telephone_number": "413-773-5797",
            "fax_number": "413-417-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILDWOOD AVE",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011215",
            "telephone_number": "413-773-5797",
            "fax_number": "413-773-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "DESPINA",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "277445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201288940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.