REBECCA KIVELSON HOFER – Family Medicine Physician, NPI 1083241319

REBECCA KIVELSON HOFER is a healthcare provider. based in New haven, Connecticut. specializing in FAMILY PRACTICE. They hold a License No. 76142 (CT). The NPI Number for REBECCA KIVELSON HOFER is 1083241319

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA KIVELSON HOFER
NPI
1083241319
Phone
(203) 777-7411
Address
374 GRAND AVE
Enumeration Date
25 March 2020
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9537578091
Group Practice PAC ID
4183511538
Professional Enrollment ID
I20250403001794
Address ID
CT065130000NE374XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for REBECCA KIVELSON HOFER

  • 374 GRAND AVE

    NEW HAVEN, CT 065133733

    Phone: (203) 777-7411

    Type: Mailing

  • 1001 POTRERO AVE BLDG 80-83

    SAN FRANCISCO, CA 941103518

    Phone: (415) 206-8611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250403001794IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183511538View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerCT
-GA
-CT
Nurse PractitionerCT
Family PracticeCT
-CT
-CT
Internal Medicine, Geriatric MedicineIL
Marriage And Family TherapistCT

Reviews

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Frequently asked questions

Can I use this page to confirm REBECCA KIVELSON HOFER's NPI?
Yes. REBECCA KIVELSON HOFER is listed with NPI 1083241319 in the public NPI dataset.
Can I rely on REBECCA KIVELSON HOFER being an active provider?
As of the registry snapshot, REBECCA KIVELSON HOFER is marked active.
What is REBECCA KIVELSON HOFER's primary classification?
Family Medicine Physician is the headline specialty for REBECCA KIVELSON HOFER here. Clinical services aligned with this taxonomy classification.
Where is REBECCA KIVELSON HOFER based?
REBECCA KIVELSON HOFER is tied to New Haven, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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