Individual provider Active NPI

Deborah L Medici Feick, PAC

  • Family Medicine Physician
  • Perry, IA
National Provider Identifier
1154318400
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000674 Issued in IA
Practice address
616 10TH St
Perry, IA 50220-2221
Phone
(515) 465-3553
Fax
(515) 465-4319
NPI assigned
Oct 3, 2005
Last updated
Jun 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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 000674 IA Primary

Addresses

Primary practice location

616 10TH St
Perry, IA 50220-2221

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 465-3553

Other identifiers 1

IdentifierTypeStateIssuer
970031153OtherIARR MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090923000231 IA Practitioner - Physician Assistant 0749336394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County HospitalGroup PAC ID 9931094257, 13 clinicians

Practice addresses (Care Compare)

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-7555

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital Family Medicine CurrentSince Jul 30, 2019 Accepting new patients
Dallas County Hospital Current Accepting new patients

Locations

610 10th St
Perry, IA 50220
Phone (515) 465-3547

616 10th St
Perry, IA 50220
Phone (515) 465-3553

Interoperability endpoints

  • Direct secure messaging: deborahmedicifeick@dcfm.allscriptsdirect.net

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.

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1154318400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 10TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202221",
            "telephone_number": "515-465-3553",
            "fax_number": "515-465-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDICI FEICK",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970031153",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.