Active NPI
Theresa K Hoffman, DO
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02001618A
- Practice address
- 10215 Auburn Park Dr
Fort Wayne, IN 46825-2387 - Phone
- (260) 234-5400
- Fax
- (260) 234-5110
- NPI assigned
- Nov 7, 2005
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001618A | IN | Primary |
Addresses
Primary practice location
10215 Auburn Park Dr
Fort Wayne, IN 46825-2387
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3516
Other practice location 1
500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-8822
Other practice location 2
2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 482-3222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100332830 | Medicaid | IN | |
| 000000091879 | Other | BLUE CROSS BLUE SHIELD | |
| P00978940 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thoffman@direct.iuhealth.org | Direct | |
| Direct Messaging Address | theresa.hoffman@lutheranhealthnetwork.cernerdirect.com | ||
| Direct Messaging Address | thoffman@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
- Dupont Hospital LLC
- Parkview Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Brooklyn Medical Associates, PC | Family Medicine | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
10215 Auburn Park Dr
Fort Wayne, IN 46825
Phone (260) 490-2229
256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
Interoperability endpoints
- theresa.hoffman@lutheranhealthnetwork.cernerdirect.com
- thoffman@direct.iuhealth.org
- thoffman9@direct.iuhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- Family Medicine Physician
- Muncie, IN
- NPI 1316550445
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1851512198
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1992786198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-479-3516",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 AUBURN PARK DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252387",
"telephone_number": "260-234-5400",
"fax_number": "260-234-5110"
}
],
"practiceLocations": [
{
"address_1": "500 W Votaw St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "IN",
"postal_code": "473711322",
"country_code": "US",
"telephone_number": "260-726-8822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2516 E Dupont Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251608",
"country_code": "US",
"telephone_number": "260-482-3222",
"fax_number": "260-484-2859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "THERESA",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02001618A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100332830",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000091879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00978940",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thoffman@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10215 Auburn Park Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468252387",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "theresa.hoffman@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2516 E Dupont Rd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468251608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thoffman@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Votaw St",
"city": "Portland",
"state": "IN",
"country_code": "US",
"postal_code": "473711322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.