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DR. JAMES L HOFFMAN M.D.
NPI 1760687974
Pediatrics - Pediatric Cardiology in Austin, TX

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717(737) 229-3500(737) 220-3530 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2024, Mar 10, 2022, Sep 16, 2021 and 1 more (4 updates tracked since 2016).

About Dr. James L Hoffman M.d. NPPES

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

DR. JAMES L HOFFMAN M.D. (NPI 1760687974) is an individual pediatric cardiology provider in Austin, Texas, licensed in Texas (T2626) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Utah School Of Medicine (2005).

NPPES Registry Identity

NPI1760687974
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JAMES L HOFFMANCredential: M.D.
Location Address9835 N LAKE CREEK PKWYAustin, TX 78717-6210
Mailing Address9835 N Lake Creek PkwyAustin, TX 78717-6210
Phone(737) 229-3500
Fax(737) 220-3530
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2005
Enumeration DateJune 18, 2007
Last NPPES UpdateApril 5, 20244 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1760687974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · T2626
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License T2626 (TX)
9835 N LAKE CREEK PKWY, Austin, TX 78717
Open in Google Maps ↗

Secondary Practice Location 1

Location 18611 N Mopac Expy Ste 300Austin, TX 78759-8319 · Phone (737) 220-8200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.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

Dr. James L Hoffman M.d. 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 ID2769666320
PECOS Enrollment IDI20210831001177
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

3

Medicare enrollment records show James Hoffman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Children's Physician Group
153 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
Ihc Health Services Inc
834 mi
Multi-Specialty
380 W 100 N
Monticello, UT 84535
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1912256611 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1043444805 (801) 507-3500
University Of Utah Pediatric Services
1,045 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109

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

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.

DR. ANUSHA CHINTHAPARTHI MD
Pediatrics (Neonatal-Perinatal Medicine)
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (832) 826-1380
NEVIN GEORGE PA-C
Physician Assistant
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (832) 828-3660
ALEXIA DEMARCHOS PA-C
Physician Assistant (Medical)
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (737) 229-2000
DR. SRI NIKHITA CHIMATAPU MD
Pediatrics (Pediatric Endocrinology)
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (917) 741-4080
JESSICA OTAH
Anesthesiology (Pediatric Anesthesiology)
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (737) 229-2000
LAUREN DESCHNER MD
Pediatrics
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (737) 229-2000
NIHA NOOR KAROLIA
Physician Assistant
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (737) 229-2000
DR. JOEL WILLIAM JONES MD
Otolaryngology (Pediatric Otolaryngology)
9835 N LAKE CREEK PKWY
AUSTIN, TX 78717
Williamson County (832) 822-0629

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 James Hoffman's NPI number?

The NPI number for James Hoffman is 1760687974. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is James Hoffman located?

James Hoffman practices at 9835 N Lake Creek Pkwy, Austin, TX 78717. The listed phone number is (737) 229-3500.

What is James Hoffman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is James Hoffman enrolled in Medicare?

Yes. James 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 James Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hoffman reassigns Medicare benefits to 3 organizations: Texas Children's Physician Group (Houston, TX), Ihc Health Services Inc (Monticello, UT) and University Of Utah Pediatric Services (Sandy, UT). 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 James Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hoffman accept?

Health plans from Baylor Scott and White Health Plan, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list James 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 James Hoffman was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.