Individual provider Active NPI

Elizabeth A Hoffman, MD

  • Internal Medicine Physician
  • Sylvania, OH
National Provider Identifier
1912909995
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35068322 Issued in OH
Practice address
5700 Monroe St Unit 209
Sylvania, OH 43560-2735
Phone
(419) 291-6720
Fax
(419) 291-6729
NPI assigned
Aug 10, 2005
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 35068322 OH Primary

Addresses

Primary practice location

5700 Monroe St Unit 209
Sylvania, OH 43560-2735

Mailing address

5700 Monroe St Unit 209
Sylvania, OH 43560-2735
Phone (419) 291-6720

Other practice location 1

3909 Woodley Rd
Suite 300
Toledo, OH 43606-1169
Phone (419) 291-6720

Other practice location 2

3909 Woodley Rd
Suite 300
Toledo, OH 43606-1169
Phone (419) 291-6720

Other identifiers 6

IdentifierTypeStateIssuer
000000141189OtherOHANTHEM
110176019OtherOHRRMC
0662087OtherOHAETNA
0162854MedicaidOH
01992OtherOHPARAMOUNT
04-02983OtherOHUHC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehoffman13576@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100618000204 OH Practitioner - Internal Medicine 6901936996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Suite 450
Toledo, OH 43606-5102
Phone (419) 291-2003

2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068322OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Internal Medicine CurrentSince Apr 1, 1999 Accepting new patients
Promedica Central Physicians CurrentSince Apr 1, 1999 Accepting new patients
Promedica Central Corporation of Michigan Internal Medicine Past Accepting new patients

Locations

5700 Monroe St
Unit 209
Sylvania, OH 43560
Phone (419) 291-6720

5700 Monroe St
Unit 308
Sylvania, OH 43560
Phone (419) 291-7555

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3909 Woodley Rd
Ste 300
Toledo, OH 43606
Phone (419) 291-6720

Interoperability endpoints

  • Direct secure messaging: ehoffman13576@direct.promedica.org
  • Direct secure messaging: ehoffman13576@epicdirect.promedica.org

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.

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1912909995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST UNIT 209",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602735",
            "telephone_number": "419-291-6720",
            "fax_number": "419-291-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MONROE ST UNIT 209",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602735",
            "telephone_number": "419-291-6720",
            "fax_number": "419-291-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Woodley Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061169",
            "country_code": "US",
            "telephone_number": "419-291-6720",
            "fax_number": "419-291-6729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 Woodley Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061169",
            "country_code": "US",
            "telephone_number": "419-291-6720",
            "fax_number": "419-291-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35068322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "110176019",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0662087",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162854",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01992",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "04-02983",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehoffman13576@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.