Individual provider Active NPI

Robert Jeffrey Hofmann, M.D.

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1972589745
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD06877 Issued in RI
Practice address
150 East Manning St.
Providence, RI 02906
Phone
(401) 272-2020
Fax
(401) 421-5979
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD06877 RI Primary

Addresses

Primary practice location

150 East Manning St.
Providence, RI 02906

Mailing address

150 East Manning St.
Providence, RI 02906
Phone (401) 272-2020

Other identifiers 13

IdentifierTypeStateIssuer
153556OtherRIHARVARD
1619OtherRINEIGHBORHOOD RI
003641OtherRIBLUE CHIP
26587OtherRIRI BLUE SHIELD
J06051OtherRIMASS BLUE SHIELD
1659763OtherRICIGNA
7000874MedicaidRI
763828OtherPRTUFTS
0021297OtherMANEIGHBORHOOD MA
180036716OtherRIRAILROAD MEDICARE
0800142OtherRIUNITED
5729233OtherRIAETNA
M17477OtherRIBCBS MA GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050330000250 MA Practitioner - Ophthalmology 5193788677 Reassigns benefits to 1 organization
I20120508000177 RI Practitioner - Ophthalmology 5193788677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refocus Eye Health of Ri, LLCGroup PAC ID 3678940277, 17 clinicians

Practice addresses (Care Compare)

150 E Manning St
Providence, RI 02906-5109
Phone (401) 272-2020

235 Hanover St
Suite 201
Fall River, MA 02720-5299
Phone (508) 679-0150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal or shaving of skin growth1-10
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Surgery Center LLC Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 27, 2020 Accepting new patients
Refocus Eye Health of Ri, LLC Ophthalmology CurrentSince Oct 10, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 27, 2020 Accepting new patients
Refocus Eye Health of Ri, LLC Ophthalmology CurrentSince Oct 10, 2022 Accepting new patients

Locations

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

235 Hanover St
Ste 201
Fall River, MA 02720
Phone (508) 679-0150

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

150 E Manning St
Providence, RI 02906
Phone (401) 272-2020

1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551

1525 Wampanoag Trl
Ste 105
Riverside, RI 02915
Phone (401) 437-0500

55 Village Square Dr
Bldg 24
Wakefield, RI 02879
Phone (401) 272-2020

Organizations & group practices 5

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 5

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1972589745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST MANNING ST.",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EAST MANNING ST.",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD06877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "153556",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD RI",
            "identifier": "1619",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "003641",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE SHIELD",
            "identifier": "26587",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BLUE SHIELD",
            "identifier": "J06051",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1659763",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000874",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "763828",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD MA",
            "identifier": "0021297",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180036716",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0800142",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5729233",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA GROUP #",
            "identifier": "M17477",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.