Individual provider Active NPI

Jeffery T Hoeck, MD

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1871583815
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0058289 Issued in MD
Practice address
4175 N Hanson CT
Bowie, MD 20716-3179
Phone
(410) 741-1519
Fax
(301) 464-9383
NPI assigned
Oct 21, 2005
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0058289 MD Primary

Addresses

Primary practice location

4175 N Hanson CT
Bowie, MD 20716-3179

Mailing address

PO Box 8745
Belfast, ME 04915-8745
Phone (443) 481-6566

Other identifiers 5

IdentifierTypeStateIssuer
400681000MedicaidMD
61661501OtherMDBCBS
2917287OtherAETNA
56710002OtherDCBCBS
5540433OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100727000544 DC Practitioner - Internal Medicine 3476686536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058289MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew S. Dobin, MD PA Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
East Tennessee Medical Group, PC Internal Medicine Past Accepting new patients

Locations

4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798

4175 N Hanson Ct
Ste 104
Bowie, MD 20716
Phone (301) 464-9660

4175 N Hanson Ct
Ste 203A
Bowie, MD 20716
Phone (301) 464-9660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1871583815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8745",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158745",
            "telephone_number": "443-481-6566",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163179",
            "telephone_number": "410-741-1519",
            "fax_number": "301-464-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOECK",
        "first_name": "JEFFERY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0058289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400681000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61661501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2917287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56710002",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5540433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.