Individual provider Active NPI

Ryan Samuel Hoffman, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Villanova, PA
National Provider Identifier
1861696320
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD422651 Issued in PA
Practice address
775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529
Phone
(610) 896-6666
Fax
(610) 896-6669
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 36115604 IL
Plastic and Reconstructive Surgery Physician 2086S0122X MD422651 PA Primary

Addresses

Primary practice location

775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529

Mailing address

775 E Lancaster Ave Ste 230
Villanova, PA 19085-1529
Phone (610) 896-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091022000641 PA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Undersea and Hyperbaric Medicine 0446397491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Undersea and Hyperbaric Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Institute of Plastic Surgery IncGroup PAC ID 2062650054, 2 clinicians

Practice addresses (Care Compare)

775 E Lancaster Ave
Suite 230
Villanova, PA 19085-1529
Phone (610) 896-6666

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision50
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36115604ILMDPlastic and Reconstructive Surgery Physician
MD422651PAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Institute of Plastic Surgery Inc CurrentSince Mar 4, 2013 Accepting new patients

Locations

775 E Lancaster Ave
Ste 230
Villanova, PA 19085
Phone (610) 896-6666

100 E Lancaster Ave
#660
Wynnewood, PA 19096
Phone (610) 896-6666

100 E Lancaster Ave
Ste 660
Wynnewood, PA 19096
Phone (610) 896-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEGCCA
  • Direct secure messaging: ryan.hoffman@hof.eclinicaldirectplus.com

Organizations & group practices 1

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1861696320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 230",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-896-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E LANCASTER AVE STE 230",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851529",
            "telephone_number": "610-896-6666",
            "fax_number": "610-896-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "RYAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "36115604",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD422651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.