Individual provider Active NPI

Scott David Hoffman, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1902806235
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33531 Issued in NC
Practice address
4201 Lake Boone TRL Ste 102
Raleigh, NC 27607
Phone
(919) 896-8383
Fax
(919) 896-8387
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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 33531 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL Ste 102
Raleigh, NC 27607

Mailing address

4201 Lake Boone TRL Ste 102
Raleigh, NC 27607-7511
Phone (919) 896-8383

Other practice location 1

107 S Center St
Hildebran, NC 28637-8304
Phone (828) 397-3522 ext. 226

Other identifiers 1

IdentifierTypeStateIssuer
8942823MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050429000132 NC Practitioner - Family Practice 5991744922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

4201 Lake Boone TRL
Suite 102
Raleigh, NC 27607-7511
Phone (919) 896-8383

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • The Rosewood Health Center Nursing home, Raleigh, NC, CCN 345546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33531NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Family Medicine Current Accepting new patients
Raleigh Preventative Care, PA Family Medicine CurrentSince Mar 28, 2018 Accepting new patients

Locations

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

4201 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 896-8383

Interoperability endpoints

  • Direct secure messaging: scott.hoffman.1@14660.direct.athenahealth.com
  • Direct secure messaging: scott.hoffman.1@20604.direct.athenahealth.com

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.

Hospital & facility affiliations 8

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1902806235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077511",
            "telephone_number": "919-896-8383",
            "fax_number": "919-896-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-896-8383",
            "fax_number": "919-896-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Center St",
            "address_purpose": "LOCATION",
            "city": "Hildebran",
            "state": "NC",
            "postal_code": "286378304",
            "country_code": "US",
            "telephone_number": "828-397-3522 x226",
            "fax_number": "828-397-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8942823",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.