Individual provider Active NPI

Mikel Anne Hofmann, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1740415264
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD040025 Issued in DC
Practice address
1140 Varnum St NE Ste 103
Washington, DC 20017-2100
Phone
(202) 930-2380
Fax
(202) 853-9713
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 MD040025 DC Primary
Family Medicine Physician 207Q00000X D0073026 MD

Addresses

Primary practice location

1140 Varnum St NE Ste 103
Washington, DC 20017-2100

Mailing address

1140 Varnum St NE Ste 103
Washington, DC 20017-2100
Phone (202) 930-2380

Other practice location 1

4151 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (301) 699-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120927000289 DC Practitioner - Family Practice 0244489771 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Washington, DC
I20190108001408 MD Practitioner - Family Practice 0244489771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Varnum St NE
Suite 200
Washington, DC 20017-2153
Phone (202) 930-2380

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040025DCMDFamily Medicine Physician
D0073026MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Mikel Anne Hofmann MD Curacapitol Primary Care Services Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Physician Partners, Inc Past Accepting new patients

Locations

1140 Varnum St NE
Ste 201
Washington, DC 20017
Phone (202) 526-7538

1140 Varnum St NE
Ste 103
Washington, DC 20017
Phone (202) 723-8768

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

882 Muddy Branch Rd
Gaithersburg, MD 20878
Phone (410) 721-0311

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 8

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1740415264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172100",
            "telephone_number": "202-930-2380",
            "fax_number": "202-853-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172100",
            "telephone_number": "202-930-2380",
            "fax_number": "202-853-9713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 Bladensburg Rd",
            "address_purpose": "LOCATION",
            "city": "Colmar Manor",
            "state": "MD",
            "postal_code": "207221928",
            "country_code": "US",
            "telephone_number": "301-699-7700",
            "fax_number": "301-779-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "MIKEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD040025",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0073026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.