NPIMap

Individual provider Active NPI

Kenneth Thomas Chapman, MD

  • Family Medicine Physician
  • Storm Lake, IA
National Provider Identifier
1033747365
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-51440 Issued in IA
Practice address
620 Northwestern Dr
Storm Lake, IA 50588-2935
Phone
(712) 732-5030
NPI assigned
Mar 31, 2020
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-51440 IA Primary

Addresses

Primary practice location

620 Northwestern Dr
Storm Lake, IA 50588-2935

Mailing address

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 227-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230825002701 IA Practitioner - Family Practice 3870913577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

620 SE 5TH St
Rotary Senior Living
Eagle Grove, IA 50533-2477
Phone (515) 448-5124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-51440IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Sep 1, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Buena Vista Regional Medical Center Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jan 20, 2024 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jan 20, 2024 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

620 Northwestern Dr
Storm Lake, IA 50588
Phone (712) 213-8065

Networks

  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: kchapman993063@direct.unitypoint.org

Organizations & group practices 6

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 7

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1033747365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-227-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTHWESTERN DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882935",
            "telephone_number": "712-732-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KENNETH",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-51440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.