NPIMap

Individual provider Active NPI

Peter Kenneth Hoftiezer, D.O.

  • Family Medicine Physician
  • Chariton, IA
National Provider Identifier
1497062558
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4453 Issued in IA
Practice address
1200 N 7TH St
Chariton, IA 50049
Phone
(641) 774-8103
Fax
(641) 774-8087
NPI assigned
Sep 9, 2010
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2010024515 MO
Family Medicine Physician 207Q00000X 4453 IA Primary

Addresses

Primary practice location

1200 N 7TH St
Chariton, IA 50049

Mailing address

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-8103

Other practice location 1

1200 N 7th St
Chariton, IA 50049
Phone (641) 774-8103

Other identifiers 1

IdentifierTypeStateIssuer
4453OtherIALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014001548 IA Practitioner - Family Practice 0749414381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4453IAMDFamily Medicine Physician
2010024515MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Dec 1, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Lucas County Health Center CurrentSince Oct 6, 2025 Accepting new patients

Locations

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

Interoperability endpoints

  • Direct secure messaging: phoftiezer583764@direct.unitypoint.org

Organizations & group practices 4

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 8

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1497062558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103",
            "fax_number": "641-727-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "50049",
            "telephone_number": "641-774-8103",
            "fax_number": "641-774-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chariton",
            "state": "IA",
            "postal_code": "50049",
            "country_code": "US",
            "telephone_number": "641-774-8103",
            "fax_number": "641-774-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFTIEZER",
        "first_name": "PETER",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2010024515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4453",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

Verify at the official NPI Registry.