Martee R Macleod-Kozal, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Shenandoah, IA
NPI 1245404086 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1245404086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 26779 (NE)
- Practice address
- 1 Jack Foster Dr
Shenandoah, IA 51601-4586 - Phone
- (712) 246-7054
- Fax
- (712) 246-7036
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Oregon Health Sciences University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Medical Center
Practice addresses (Care Compare)
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230
Hospital & facility affiliations
- Shenandoah Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180904003350 | IA | Practitioner - Obstetrics/Gynecology | 3870759376 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current |
Accepting new patients | |
| Shenandoah Medical Center | Current |
Accepting new patients | |
| Clarinda Regional Health Center | Current |
Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients |
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 26779 | NE | Yes |
Addresses
Primary practice location
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Mailing address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7054
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marteemacleod-kozal@shenmed.allscriptsdirect.net |
Other providers in Shenandoah, IA
- Darci Lewis
- Holly Maureen Logan
- Jennifer Ann Lundgren
- David Lutz
- Angela Dawn Mace
- Carin Renee Mason
- Jeffrey P McCoy
- Denise J McEnaney
- Margaret McGrath
- Gary McIntyre
All providers in Shenandoah, IA · Obstetrics & Gynecology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.