Individual provider Active NPI

Chad Hoerr

  • Physician Assistant
  • Radford, VA
National Provider Identifier
1689495152
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011063 Issued in IL
Practice address
801 E Main St
Radford, VA 24142-0001
Phone
(540) 831-5000
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.011063 IL Primary

Addresses

Primary practice location

801 E Main St
Radford, VA 24142-0001

Mailing address

801 E Main St
Radford, VA 24142-0001
Phone (540) 831-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002630 IL Practitioner - Physician Assistant 9931621018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546

60 S Soangetaha Rd
Galesburg, IL 61401-7524
Phone (309) 344-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.011063ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Mar 12, 2025 Accepting new patients
Robert G German MD PC Dermatology Past Accepting new patients

Locations

60 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 344-5777

410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

Interoperability endpoints

  • Direct secure messaging: choerr@directaddress.net

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1689495152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241420001",
            "telephone_number": "540-831-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241420001",
            "telephone_number": "540-831-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERR",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radford, VA

Sources for this page

Verify at the official NPI Registry.