Active NPI
David Patrick Hart, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Cedar Rapids, IA
National Provider Identifier
1174520944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 27079
- Practice address
- 202 10TH Street SE
Cedar Rapids, IA 52403-2404 - Phone
- (319) 398-1545
- Fax
- (319) 399-2039
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 27079 | IA | Primary |
Addresses
Primary practice location
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Mailing address
PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056770 | Medicaid | IA | |
| 56471 | Other | IA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27079 | IA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- david.hart.1@19293.direct.athenahealth.com
- dhart40689@direct.unitypoint.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391904000000",
"number": "1174520944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3178",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524063178",
"telephone_number": "319-398-1583",
"fax_number": "319-399-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH STREET SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032404",
"telephone_number": "319-398-1545",
"fax_number": "319-399-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "DAVID",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IA",
"license": "27079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1056770",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "56471",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.