Individual provider Active NPI

Susan Fraser Hoffman, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1457401317
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G60976 Issued in CA
Practice address
805 El Camino Real
Suite B
Palo Alto, CA 94301-2315
Phone
(650) 329-0440
Fax
(650) 321-3589
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G60976 CA Primary

Addresses

Primary practice location

805 El Camino Real
Suite B
Palo Alto, CA 94301-2315

Mailing address

805 El Camino Real Ste B
Palo Alto, CA 94301-2315
Phone (650) 329-0440

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other identifiers 1

IdentifierTypeStateIssuer
G60976OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Susan.Hoffman@101989220356.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 21, 2016 through Nov 21, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imgpa, Inc. Internal Medicine CurrentSince Apr 28, 2024 Accepting new patients
Sutter Bay Medical Foundation PastSince Apr 28, 2024 Accepting new patients

Locations

805 El Camino Real
Ste B
Palo Alto, CA 94301
Phone (650) 329-0440

Interoperability endpoints

  • Direct secure messaging: susan.hoffman@101989220356.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1457401317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-329-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012315",
            "telephone_number": "650-329-0440",
            "fax_number": "650-321-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SUSAN",
        "middle_name": "FRASER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G60976",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Susan.Hoffman@101989220356.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "805 El Camino Real",
            "address_2": "Suite B",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943012315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.