Daniel Hochberger, M.D.
Individual provider Active NPI Internal Medicine Physician · Rumford, RI
NPI 1497836969 · NPPES record last updated Jul 5, 2016
Key facts
- NPI
- 1497836969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 066373 (RI)
- Practice address
- 400 Pawtucket Ave
Rumford, RI 02916-2135 - Phone
- (401) 431-6224
- Fax
- (401) 431-9011
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000223 | RI | Practitioner - Internal Medicine | 2860651585 |
Reassigns benefits to 1 organization Practice locations: Rumford, RI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066373 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers of Rhode Island PC | Internal Medicine | Current |
Accepting new patients |
Locations
106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 066373 | RI | Yes |
Addresses
Primary practice location
400 Pawtucket Ave
Rumford, RI 02916-2135
Mailing address
400 Pawtucket Ave
Rumford, RI 02916-2135
Phone (401) 431-6224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620.7 | Other | RI | BC# |
| 0000777540 | Medicaid | RI | |
| 006637 PU T6 | Other | RI | TUFTS |
| 003971 | Other | RI | BLUECHIP |
| 0402735 | Other | RI | UHP (UNITED HEALTH PLANS) |
| RI 6637 | Other | RI | BCHOICE/LIFESPAN |
Other providers in Rumford, RI
- Audrey Elaine Hall
- Mary Elisabeth Hannah
- Courtney Heck
- Lisa Helgerson
- Heather Hilton
- Hope Healthcare, Inc.
- Olivia M Howard
- Alison Huftalen
- Humility Healthcare LLC
- Hugh David Isherwood
All providers in Rumford, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.