Individual provider Active NPI

Shad D Schrader, PA-C

  • Physician Assistant
  • North Liberty, IA
National Provider Identifier
1255418869
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001755 Issued in IA
Practice address
2301 Steindler Way Ste B
North Liberty, IA 52317-7907
Phone
(319) 338-3606
Fax
(319) 338-0522
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001755 IA
Surgical Physician Assistant 363AS0400X 001755 IA
Physician Assistant 363A00000X 001755 IA Primary

Addresses

Primary practice location

2301 Steindler Way Ste B
North Liberty, IA 52317-7907

Mailing address

2301 Steindler Way Ste B
North Liberty, IA 52317-7907
Phone (319) 338-3606

Other identifiers 2

IdentifierTypeStateIssuer
001755OtherIAIOWA LICENSE
I75560039OtherIAMEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000370 IA Practitioner - Physician Assistant 6204836554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Steindler Orthopedic Clinic PLCGroup PAC ID 7719879857, 39 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

2301 Steindler Way
Suite B
North Liberty, IA 52317-7907
Phone (319) 338-3606

2301 Steindler Way B
North Liberty, IA 52317-7907

Hospital & facility affiliations

  • University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001755IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Orthopaedic Center, P.C. Physician Assistant CurrentSince Oct 15, 2007 Accepting new patients
State University of Iowa CurrentSince Aug 15, 2016 Accepting new patients
State University of Iowa CurrentSince Aug 15, 2016 Accepting new patients
Iowa Orthopaedic Center, P.C. Medical CurrentSince Oct 15, 2007 Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

2751 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3606

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

Organizations & group practices 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1255418869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STEINDLER WAY STE B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177907",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STEINDLER WAY STE B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177907",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "SHAD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001755",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001755",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "001755",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I75560039",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.