Individual provider Active NPI

Rebecca Hoffman, D.O.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1881628774
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015692 Issued in MI
Practice address
10223 E Cherry Bend Rd
Traverse City, MI 49684-7304
Phone
(231) 929-7933
NPI assigned
Jul 10, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015692 MI Primary

Addresses

Primary practice location

10223 E Cherry Bend Rd
Traverse City, MI 49684-7304

Mailing address

10223 E Cherry Bend Rd
Traverse City, MI 49684-7304
Phone (231) 929-7933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061004000161 MI Practitioner - Family Practice 5395740989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherry Bend Family Care, PLCGroup PAC ID 9032114624, 4 clinicians

Practice addresses (Care Compare)

10223 E Cherry Bend Rd
Cherry Bend Family Care
Traverse City, MI 49684-7304
Phone (231) 929-7933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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 Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015692MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Bend Family Care, PLC Family Medicine CurrentSince Aug 1, 2006 Accepting new patients

Locations

10223 E Cherry Bend Rd
Traverse City, MI 49684
Phone (231) 929-7933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAA
  • Direct secure messaging: rebecca.hoffman@cbfc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1881628774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 E CHERRY BEND RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847304",
            "telephone_number": "231-929-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 E CHERRY BEND RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847304",
            "telephone_number": "231-929-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "REBECCA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.