Active NPI
Eric J Dippel, M.D.
- Interventional Cardiology Physician
- Davenport, IA
National Provider Identifier
1083693949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 30121
- Practice address
- 3385 Dexter CT Ste 100
Davenport, IA 52807-3471 - Phone
- (563) 324-3818
- Fax
- (563) 326-4280
- NPI assigned
- Jan 10, 2006
- Last updated
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 30121 | IA | Primary |
Addresses
Primary practice location
3385 Dexter CT Ste 100
Davenport, IA 52807-3471
Mailing address
3001 Palm Harbor Blvd Ste a
Palm Harbor, FL 34683-1930
Phone (727) 474-0090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB3877001 | Other | IA | VASCULAR INSTITUTE OF THE MIDWEST |
| 060059569 | Other | MEDICARE RAILROAD | |
| 8114611 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3385 Dexter CT
Suite 100
Davenport, IA 52807-3471
Phone (563) 324-3818
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.97 of 100
- Quality
- 84.3
- Improvement activities
- 40
- Cost
- 71.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 321 |
| Leg revascularization (restoring blood flow) | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30121 | IA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Vascular Institute of the Midwest PC | Interventional Cardiology | Current | Accepting new patients |
| Cardiac Thoracic & Endovascular Therapies, S.C. | Past | Accepting new patients |
Locations
3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683
3385 Dexter Ct
Davenport, IA 52807
Phone (563) 344-6645
3385 Dexter Ct
Ste 100
Davenport, IA 52807
Phone (563) 324-3818
Interoperability endpoints
- edippel92188@direct.unitypoint.org
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Davenport, IA
- NPI 1316486616
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Peoria, IL
- NPI 1962417485
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1083693949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 PALM HARBOR BLVD STE A",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831930",
"telephone_number": "727-474-0090",
"fax_number": "727-474-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT STE 100",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-324-3818",
"fax_number": "563-326-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPPEL",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IA",
"license": "30121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VASCULAR INSTITUTE OF THE MIDWEST",
"identifier": "IB3877001",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "060059569",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8114611",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.