Individual provider Active NPI

Ernest J Hoefner, D.O.

  • Anesthesiology Physician
  • Roanoke, VA
National Provider Identifier
1730178708
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0102205460 Issued in VA
Practice address
5115 Bernard Drive Suite 201
Roanoke, VA 24018-4327
Phone
(540) 345-0289
Fax
(540) 345-9569
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A1272-04 NM
Anesthesiology Physician 207L00000X 0102205460 VA Primary

Addresses

Primary practice location

5115 Bernard Drive Suite 201
Roanoke, VA 24018-4327

Mailing address

PO Box 36840
Albuquerque, NM 87176-6840
Phone (505) 243-7729

Other practice location 1

4401 Masthead St NE
Suite 120
Albuquerque, NM 87109-4327
Phone (505) 243-7729

Other identifiers 1

IdentifierTypeStateIssuer
15824721MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190122000835 VA Practitioner - Anesthesiology 8820068802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv IncGroup PAC ID 3870633936, 70 clinicians

Practice addresses (Care Compare)

5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4367
Phone (540) 345-0289

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1272-04NMMDAnesthesiology Physician
0102205460VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Inc Anesthesiology CurrentSince Jan 28, 2019 Accepting new patients
Anesthesiology Consultants of Virginia, Inc Anesthesiology PastSince Jan 28, 2019 Accepting new patients

Locations

5115 Bernard Dr
Ste 201
Roanoke, VA 24018
Phone (540) 345-0289

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

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.

Hospital & facility affiliations 1

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1730178708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36840",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871766840",
            "telephone_number": "505-243-7729",
            "fax_number": "505-243-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BERNARD DRIVE SUITE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184327",
            "telephone_number": "540-345-0289",
            "fax_number": "540-345-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Masthead St NE",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094327",
            "country_code": "US",
            "telephone_number": "505-243-7729",
            "fax_number": "505-243-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEFNER",
        "first_name": "ERNEST",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "A1272-04",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102205460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15824721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.