NPIMap

Individual provider Active NPI

Kurt Anthony House, D.O.,F.P.

  • Family Medicine Physician
  • Independence, IA
National Provider Identifier
1114915220
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03021 Issued in IA
Practice address
1600 1St St E
Independence, IA 50644-3155
Phone
(319) 334-2541
Fax
(319) 334-7054
NPI assigned
Oct 12, 2005
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 03021 IA Primary

Addresses

Primary practice location

1600 1St St E
Independence, IA 50644-3155

Mailing address

1600 1St St E
Independence, IA 50644-3155
Phone (319) 334-2541

Other identifiers 1

IdentifierTypeStateIssuer
8138586MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khouse@bchealth.org Direct

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
I20031201000084 IA Practitioner - Family PracticePractitioner - Emergency Medicine 6002711470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians

Practice addresses (Care Compare)

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
People's Memorial Hospital Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
People's Memorial Hospital Family Medicine Past Accepting new patients

Locations

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

Interoperability endpoints

  • Direct secure messaging: khouse473598@direct.unitypoint.org

Organizations & group practices 5

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1114915220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-334-2541",
            "fax_number": "319-334-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-334-2541",
            "fax_number": "319-334-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "KURT",
        "middle_name": "ANTHONY",
        "credential": "D.O.,F.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8138586",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khouse@bchealth.org",
            "affiliation": "N",
            "endpointDescription": "Buchanan County Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDDA",
            "address_1": "1600 1st St E",
            "city": "Independence",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506443155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

Verify at the official NPI Registry.