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MICHAEL T HOFFMAN MD
NPI 1396796447
Pediatrics in Elmhurst, IL

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
1200 S YORK ST STE 2000, ELMHURST, IL 60126(331) 221-9002(331) 221-2747 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Apr 9, 2021 (2 updates tracked since 2021).

About Michael T Hoffman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL T HOFFMAN MD (NPI 1396796447) is an individual pediatrics provider in Elmhurst, Illinois, licensed in Illinois (036097114) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1396796447
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL T HOFFMANCredential: MD
Location Address1200 S YORK ST STE 2000Elmhurst, IL 60126-5634
Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700 · (847) 982-3175 · Fax (847) 982-3394
Phone(331) 221-9002
Fax(331) 221-2747
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 13, 2006
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1396796447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036097114
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 S YORK ST STE 2000, Elmhurst, IL 60126
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael T Hoffman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597889865
PECOS Enrollment IDI20100824000822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Hoffman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elmhurst Memorial Healthcare
0.1 mi
Multi-Specialty
1200 S YORK ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
NPI 1457493454 (331) 221-9000
Endeavor Health Medical Group
19 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA URIBE MD
Pediatrics
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9002
MICHELLE N CONROY DO
Pediatrics
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9002
SCOTT C RIEGER DPM
Podiatrist
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9004
DAVID TELLA I MD
Urology
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9004
KELLY R. MORRIS DNP
Nurse Practitioner
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9003
DR. JOHN PATRICK RICHGELS MD
Urology
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9004
JUDITH G BENKA NP
Nurse Practitioner (Pediatrics)
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9002
DR. LILLIAN MENTZELOPOULOS
Podiatrist
1200 S YORK ST STE 2000
ELMHURST, IL 60126
Dupage County (331) 221-9004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Hoffman's NPI number?

The NPI number for Michael Hoffman is 1396796447. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Michael Hoffman located?

Michael Hoffman practices at 1200 S York St Ste 2000, Elmhurst, IL 60126. The listed phone number is (331) 221-9002.

What is Michael Hoffman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Hoffman enrolled in Medicare?

Yes. Michael Hoffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hoffman reassigns Medicare benefits to 2 organizations: Elmhurst Memorial Healthcare (Elmhurst, IL) and Endeavor Health Medical Group (Evanston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hoffman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Michael Hoffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Hoffman was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.