Active NPI
Ernest J Hoefner, D.O.
- Anesthesiology Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0102205460
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15824721 | Medicaid | NM |
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
Enrollment records 1
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
Practice addresses (Care Compare)
5115 Bernard Dr
Suite 201
Roanoke, VA 24018-4367
Phone (540) 345-0289
Hospital & facility affiliations
- Carilion Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1272-04 | NM | MD | Anesthesiology Physician |
| 0102205460 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acv Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants of Virginia, Inc | Anesthesiology | Past | 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.
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1881927259
-
- Anesthesiology Physician
- Roanoke, VA
- NPI 1225016603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.