Individual provider Active NPI

Dorothy J Todt, M.D.

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1154559920
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40401 Issued in IA
Practice address
5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone
(712) 266-2700
Fax
(712) 266-2759
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 MD40401 IA
Family Medicine Physician 207Q00000X 40401 IA Primary

Addresses

Primary practice location

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203

Mailing address

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone (712) 266-2700

Other identifiers 1

IdentifierTypeStateIssuer
IA00606MedicaidIA

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
I20120907000043 IA Practitioner - Family Practice 7517115033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

5885 Sunnybrook Dr
Suite E100
Sioux City, IA 51106-4250
Phone (712) 266-2700

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Sioux City, IA, CCN 167159
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Sunrise Retirement Community Nursing home, Sioux City, IA, CCN 165473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40401IAMDFamily Medicine Physician
MD40401IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Sep 16, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
St Lukes Health Resources Family Medicine Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

5885 Sunnybrook Dr
Ste E100
Sioux City, IA 51106
Phone (712) 266-2700

2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383

Interoperability endpoints

  • Direct secure messaging: dtodt128421@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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1154559920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODT",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD40401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IA00606",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.