ROBERT LOUIS DANNENHOFFER (MD) – Pediatrics Physician, NPI 1306873393

ROBERT LOUIS DANNENHOFFER (MD) is a healthcare provider. based in Roseburg, Oregon. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD16129 (OR). The NPI Number for ROBERT LOUIS DANNENHOFFER (MD) is 1306873393

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT LOUIS DANNENHOFFER (MD)
NPI
1306873393
Phone
(541) 672-9596
Address
150 NE KENNETH FORD DR
Enumeration Date
27 June 2006
Last Update Date
3 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416729596
Graduation Year
1980 (46 years ago)
PAC ID
9335239177
Group Practice PAC ID
0345233078
Professional Enrollment ID
I20190729000013
Address ID
OR974701042RO150XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

298 PEDIATRIC MEDICINE in OR

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Provider Addresses for ROBERT LOUIS DANNENHOFFER (MD)

  • Kenneth Ford Drive, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974701042

    Phone: (541) 672-9596

    Mailing address matches the actual address.

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: 2019-07-29

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
I20190729000013IPediatric MedicineORTBD

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 97470)

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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: 0345233078View full group profile
NameSpecialtyState
Family PracticeOR
Family PracticeOR
-OR
-OR
Registered Dietitian Or Nutrition ProfessionalOR
Nurse PractitionerOR
-OR
Family PracticeOR
Family PracticeOR
Physician AssistantOR

Reviews

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Frequently asked questions

What number should I use to identify ROBERT LOUIS DANNENHOFFER (MD) for billing?
Administrative and clinical systems typically use NPI 1306873393 for ROBERT LOUIS DANNENHOFFER (MD).
Should I treat ROBERT LOUIS DANNENHOFFER (MD) as an active provider?
Patients and plans typically see ROBERT LOUIS DANNENHOFFER (MD) as active in the national extract.
What type of care does ROBERT LOUIS DANNENHOFFER (MD) provide?
ROBERT LOUIS DANNENHOFFER (MD)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ROBERT LOUIS DANNENHOFFER (MD)?
The directory associates ROBERT LOUIS DANNENHOFFER (MD) with Roseburg, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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