Individual provider Active NPI

Hersi Cabdi Moallin

  • Internal Medicine Physician
  • Mason City, IA
National Provider Identifier
1154818953
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53868 Issued in IA
Practice address
1631 4TH St SW Ste 114B
Mason City, IA 50401-1612
Phone
(641) 428-6000
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75622-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 53868 IA Primary

Addresses

Primary practice location

1631 4TH St SW Ste 114B
Mason City, IA 50401-1612

Mailing address

1000 4TH St SW
Mason City, IA 50401-2800
Phone (641) 428-7000

Other names 1

  • Hersi Cabdi Moallin Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hersi.moallin.p43@direct.trinity-healthiowa.nextgennshare.com Direct

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
I20241209001061 IA Practitioner - Internal Medicine 1355749979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

1631 4TH St SW
114B Mercyone North Iowa Women'S Health Car
Mason City, IA 50401-1612
Phone (641) 428-6000

621 S Illinois Ave
100 Mercyone Regency Family Medicine
Mason City, IA 50401-5489
Phone (641) 428-6900

803 9TH Ave N
Mercyone Northwood Family Medicine
Northwood, IA 50459-1002
Phone (641) 324-1221

Hospital & facility affiliations

  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53868IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Nov 25, 2024 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Nov 25, 2024 Accepting new patients
North Iowa Mercy Clinics Internal Medicine Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1631 4th St SW
Mason City, IA 50401
Phone (641) 424-0722

1631 4th St SW
Ste 114B
Mason City, IA 50401
Phone (641) 428-6000

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

Interoperability endpoints

  • Direct secure messaging: hmoallin3952464@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154818953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-428-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 4TH ST SW STE 114B",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011612",
            "telephone_number": "641-428-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOALLIN",
        "first_name": "HERSI",
        "middle_name": "CABDI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "75622-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "53868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hersi.moallin.p43@direct.trinity-healthiowa.nextgennshare.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1631 4th St SW Ste 114B",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HERSI",
            "last_name": "MOALLIN",
            "middle_name": "CABDI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.