Donald Conklin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-40980 Issued in IA

Practice address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Phone

(641) 984-2341

NPI assigned

Jan 16, 2006

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IA, MN, MI, NM, NY, ND7 enrollments

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 7

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• PHS Indian Hospital at Rosebud Hospital, Rosebud, SD, CCN 430084
• Eagle Butte Indian Health Service Hospital Hospital, Eagle Butte, SD, CCN 431383

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dconklin170763@ahs.direct-ci.com
• Direct secure messaging: dconklin3942035@direct.trinity-health.org
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Rosebud Indian Health Service

  dba Rosebud Indian Health Service Hospital

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment Care Compare group NPD
• Cedar Falls Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Cedar Falls, IA
  • NPI 1255146155
  Medicare reassignment NPD
• Des Moines River Physicians, LLC

  • Emergency Medicine Physician
  • Des Moines, IA
  • NPI 1720472442
  Medicare reassignment NPD
• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1386879427
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  dba Mercyone Centerville Medical Center

  • Critical Access Hospital
  • Centerville, IA
  • NPI 1356391635
  Medicare reassignment NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment NPD
• Alteon Health New Mexico LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1457636706
  Medicare reassignment NPD
• Baraga County Memorial Hospital

  • Critical Access Hospital
  • L'Anse, MI
  • NPI 1558479824
  Medicare reassignment NPD
• Baraga County Memorial Hospital

  dba BCMH Physician Group

  • Family Medicine Physician
  • L'Anse, MI
  • NPI 1851409643
  Medicare reassignment NPD
• Curry Emergency Group LLC

  • Emergency Medicine Physician
  • Clovis, NM
  • NPI 1508223082
  Medicare reassignment NPD
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1003075029
  Medicare reassignment NPD
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1427419282
  Care Compare affiliation Name & address match
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1285613323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 98TH ST STE 4303",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233847",
            "telephone_number": "256-577-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-984-2341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 9th St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153300",
            "country_code": "US",
            "telephone_number": "806-761-0728",
            "fax_number": "806-761-0729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00027006",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-10536",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H4314",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-40980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ira Coleman, M.D.
• Collaborative Laboratory Services LLC
• Jeffrey P Collett, O.D.
• Community Pathology Consultants, PC
• Kyle P Compaan
• Continuum Healing Solutions LLC
• Jennifer Lynne Cook, CRNA
• Tara Cooksey
• Charles David Coram, D.C.
• Cornerstone Caregiving East LLC

• Internal Medicine Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.