Individual provider Active NPI

Kent S Hoffman, DO

  • Family Medicine Physician
  • Maitland, FL
National Provider Identifier
1396711289
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5722 Issued in FL
Practice address
406 Lake Howell Rd
Maitland, FL 32751-5907
Phone
(407) 691-3960
Fax
(407) 691-3961
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5722 FL Primary

Addresses

Primary practice location

406 Lake Howell Rd
Maitland, FL 32751-5907

Mailing address

406 Lake Howell Rd
Maitland, FL 32751-5907
Phone (407) 691-3960

Other practice location 1

130 Central Ave
Lawrence, NY 11559-1332
Phone (917) 873-1222

Other identifiers 1

IdentifierTypeStateIssuer
80296OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080107000798 FL Practitioner - Family PracticePractitioner - Addiction Medicine 9638259385 Reassigns benefits to 1 organization
I20240729002211 NY Practitioner - Addiction MedicinePractitioner - Family Practice 9638259385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Kent S Hoffman DO PAGroup PAC ID 3678658267, 2 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

1200 Lexington Green LN
Sanford, FL 32771-1013

406 Lake Howell Rd
Maitland, FL 32751-5907
Phone (407) 691-3960

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5722FLMDChiropractor
OS5722FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Recovery Centers CurrentSince May 18, 2024 Accepting new patients
Kent S Hoffman DO PA Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Fusion Recovery Centers Current Accepting new patients

Locations

406 Lake Howell Rd
Maitland, FL 32751
Phone (407) 691-3960

2830 Casa Aloma Way
Winter Park, FL 32792
Phone (407) 644-9730

444 Broadway
Ste E
Menands, NY 12204
Phone (561) 706-5915

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1396711289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-691-3960",
            "fax_number": "407-691-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-691-3960",
            "fax_number": "407-691-3961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NY",
            "postal_code": "115591332",
            "country_code": "US",
            "telephone_number": "917-873-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KENT",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.