Individual provider Active NPI

Laura Raid Witthoeft, M.D.

  • Obstetrics & Gynecology Physician
  • Dubuque, IA
National Provider Identifier
1164429254
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34653 Issued in IA
Practice address
1500 Delhi St
Suite 3100
Dubuque, IA 52001-6358
Phone
(563) 557-5959
Fax
(563) 557-5950
NPI assigned
Jul 5, 2005
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34653 IA Primary

Addresses

Primary practice location

1500 Delhi St
Suite 3100
Dubuque, IA 52001-6358

Mailing address

1500 Delhi St
Suite 3100
Dubuque, IA 52001-6358
Phone (563) 557-5959

Other identifiers 1

IdentifierTypeStateIssuer
0262097MedicaidIA

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
I20100203000555 IA Practitioner - Obstetrics/Gynecology 4587624556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubuque Obstetrics and Gynecology, P.C.Group PAC ID 2769451525, 7 clinicians
Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

1500 Delhi St
Suite 3100
Dubuque, IA 52001-6361
Phone (563) 557-5959

4135 Pennsylvania Ave
Dubuque, IA 52002-2628

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34653IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Dubuque Obstetrics & Gynecology, P.C. Obstetrics & Gynecology CurrentSince Aug 19, 2002 Accepting new patients
The Finley Hospital Past Accepting new patients

Locations

1500 Delhi St
Ste 3100
Dubuque, IA 52001
Phone (563) 557-5959

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1700
  • Direct secure messaging: lraidwitthoeft141943@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Finley HospitalDubuque, IA, CCN 160117 Hospital Corporate Director May 1, 2024
Unitypoint at Home-DubuqueDubuque, IA, CCN 167002 Home health agency Corporate Director May 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1164429254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "SUITE 3100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016358",
            "telephone_number": "563-557-5959",
            "fax_number": "563-557-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "SUITE 3100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016358",
            "telephone_number": "563-557-5959",
            "fax_number": "563-557-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAID WITTHOEFT",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "34653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262097",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.