Active NPI
Paul V Offermann, M.D.
- Emergency Medicine Physician
- Pulaski, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101040072
- Practice address
- 2400 Lee Hwy N
Pulaski, VA 24301 - Phone
- (540) 994-8100
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101040072 | VA | |
| Emergency Medicine Physician | 207P00000X | 0101040072 | VA | Primary |
Addresses
Primary practice location
2400 Lee Hwy N
Pulaski, VA 24301
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other practice location 2
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010043352 | Medicaid | VA | |
| 0045929000 | Medicaid | WV | |
| 010043344 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Georgetown University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.05 of 100
- Quality
- 94.52
- Improvement activities
- 40
- Cost
- 88.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101040072 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Spring Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Kingsford Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Ingleside Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Kingsford Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1215429600
-
- Emergency Medicine Physician
- Low Moor, VA
- NPI 1144712662
-
- Emergency Medicine Physician
- Pulaski, VA
- NPI 1336631480
-
- Hospitalist Physician
- Pulaski, VA
- NPI 1871088526
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1962466458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "24301",
"telephone_number": "540-994-8100"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"fax_number": "540-981-9550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"fax_number": "540-981-9550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFFERMANN",
"first_name": "PAUL",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101040072",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101040072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010043352",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0045929000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010043344",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.