Individual provider Active NPI

Philip Dewain Sundquist, M.D.

  • Family Medicine Physician
  • Chariton, IA
National Provider Identifier
1053520403
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37367 Issued in IA
Practice address
1030 N 7TH St
Chariton, IA 50049-1206
Phone
(641) 217-9115
NPI assigned
May 22, 2007
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26013 AL
Family Medicine Physician 207Q00000X 37367 IA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070904000535 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 4789647967 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians

Practice addresses (Care Compare)

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26013ALMDFamily Medicine Physician
37367IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Jefferson County Hospital CurrentSince Mar 1, 2025 Accepting new patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Jan 30, 2023 Accepting new patients
Lucas County Health Center CurrentSince Nov 1, 2025 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Jan 30, 2023 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Jefferson County Hospital CurrentSince Mar 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Aug 28, 2025 Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients
Clarke County Public Hospital Family Medicine 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

  • Direct secure messaging: psundquist583765@direct.unitypoint.org

Organizations & group practices 12

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 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1053520403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N 7TH ST",
            "address_2": "PO BOX 674",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491206",
            "telephone_number": "641-217-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491206",
            "telephone_number": "641-217-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDQUIST",
        "first_name": "PHILIP",
        "middle_name": "DEWAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26013",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "37367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

Verify at the official NPI Registry.