Philip Dewain Sundquist, M.D.
Individual provider Active NPI Family Medicine Physician · Chariton, IA
NPI 1053520403 · NPPES record last updated Oct 21, 2010
Key facts
- NPI
- 1053520403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37367 (IA)
- Practice address
- 1030 N 7TH St
Chariton, IA 50049-1206 - Phone
- (641) 217-9115
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lucas County Health Center
Practice addresses (Care Compare)
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000
Hospital & facility affiliations
- Lucas County Health Center
- Jefferson County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070904000535 | IA | Practitioner - Family Practice |
4789647967 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013 | AL | MD | Family Medicine Physician |
| 37367 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Community Hospital Inc | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Madison County Memorial Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Lucas County Health Center | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Family Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Emcare Physician Providers Inc. | Past | Accepting new patients | |
| Clarke County Public Hospital | Family Medicine | Past | Accepting new patients |
| Mercy Medical Center-Centerville | Past | Accepting new patients |
Locations
1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000
1200 N 7th St
Ste 100
Chariton, IA 50049
Phone (641) 774-8103
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368
Interoperability endpoints
- psundquist583765@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26013 | AL | |
| Family Medicine Physician | 207Q00000X | 37367 | IA | Yes |
Addresses
Primary practice location
1030 N 7TH St
Chariton, IA 50049-1206
Mailing address
1030 N 7TH St
PO Box 674
Chariton, IA 50049-1206
Phone (641) 217-9115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70228 | Other | IA | WELLMARK |
| 6400210 | Medicaid | IA |
Other providers in Chariton, IA
- Amiee Lynn Smith
- Taylor J Sorrells
- Spencer Foot and Ankle Clinic Inc
- Cameron Ryan Storm
- Rodney R Stream
- Surgical Clinic of Southern Iowa, PC
- Tyson Tanner
- Kandy Thomas
- Kayla June Wallace
- Audrey Marie Wheeler
All providers in Chariton, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.