NPIMap

Individual provider Active NPI

Christopher Shawn Hofelich, D.O.

  • Interventional Cardiology Physician
  • Jeffersonville, IN
National Provider Identifier
1992805493
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
02003983A Issued in IN
Practice address
41 Quatermaster CT.
Jeffersonville, IN 47130-3623
Phone
(812) 282-1617
Fax
(812) 288-7325
NPI assigned
Sep 24, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02003983A IN
Internal Medicine Physician 207R00000X 34-008723 OH
Cardiovascular Disease Physician 207RC0000X 02003983A IN
Interventional Cardiology Physician 207RI0011X 02003983A IN Primary

Addresses

Primary practice location

41 Quatermaster CT.
Jeffersonville, IN 47130-3623

Mailing address

1713 E 10TH St
Jeffersonville, IN 47130-7100
Phone (812) 282-1617

Other identifiers 3

IdentifierTypeStateIssuer
2648246MedicaidOH
201075760MedicaidIN
IN1189043OtherININ MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chofelich23869@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000148 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1850390865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550

41 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 282-1617

705 Fairground Rd
Scottsburg, IN 47170-6778
Phone (812) 752-0165

941 W McClain Ave
Suite C
Scottsburg, IN 47170-1158
Phone (812) 752-7705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-008723OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
FMMG LLC Internal Medicine Past Accepting new patients

Locations

41 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-1617

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 4

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1992805493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307100",
            "telephone_number": "812-282-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 QUATERMASTER CT.",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303623",
            "telephone_number": "812-282-1617",
            "fax_number": "812-288-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFELICH",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003983A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-008723",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02003983A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "02003983A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2648246",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201075760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "IN1189043",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chofelich23869@bhkydirect.com",
            "affiliation": "N",
            "address_1": "41 Quatermaster Ct.",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.