Individual provider Active NPI

Paul V Offermann, M.D.

  • Emergency Medicine Physician
  • Pulaski, VA
National Provider Identifier
1962466458
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101040072 Issued in VA
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

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010043352MedicaidVA
0045929000MedicaidWV
010043344MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000751 VA Practitioner - Emergency Medicine 1254300700 Reassigns benefits to 5 organizations

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
Lake Spring Emergency Group LLCGroup PAC ID 6406103498, 51 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0101040072VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Jun 26, 2018 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Nov 3, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jun 17, 2018 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Jun 28, 2018 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.