Individual provider Active NPI

Jonathan H Engbers, MD

  • Family Medicine Physician
  • Rock Valley, IA
National Provider Identifier
1114243078
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39863 Issued in IA
Practice address
2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone
(712) 476-8150
Fax
(712) 476-8190
NPI assigned
Apr 15, 2010
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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 39863 IA Primary

Addresses

Primary practice location

2121 Hegg Dr
Rock Valley, IA 51247-1445

Mailing address

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8150

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
I20131107000014 IA Practitioner - Family Practice 6406081058 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange City Municipal HospitalGroup PAC ID 4688587231, shared by 7 NPIs, 43 clinicians
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

1000 Lincoln Cir SE
Orange City, IA 51041-1836
Phone (712) 737-4984

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39863IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Municipal Hospital CurrentSince Feb 1, 2023 Accepting new patients
Spencer Municipal Hospital CurrentSince Oct 1, 2018 Accepting new patients
Hegg Memorial Hospital CurrentSince Jul 1, 2013 Accepting new patients
Spencer Municipal Hospital CurrentSince Oct 1, 2018 Accepting new patients
Orange City Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Orange City Municipal Hospital Current Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Orange City Municipal Hospital Family Medicine CurrentSince Feb 1, 2023 Accepting new patients

Locations

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Interoperability endpoints

  • Direct secure messaging: jonathan.engbers@avera.sdhealthlink.net

Organizations & group practices 11

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 5

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1114243078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8150",
            "fax_number": "712-476-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8150",
            "fax_number": "712-476-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGBERS",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "39863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

Verify at the official NPI Registry.