Individual provider Active NPI

Susan Catherine Warner, DPM

  • Podiatrist
  • Bloomfield, IA
National Provider Identifier
1295803229
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00699 Issued in IA
Practice address
110 N. Dodge St.
Bloomfield, IA 52537-1463
Phone
(641) 664-3667
Fax
(641) 664-3549
NPI assigned
Nov 30, 2006
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00699 IA Primary

Addresses

Primary practice location

110 N. Dodge St.
Bloomfield, IA 52537-1463

Mailing address

16896 Iris Blvd
Drakesville, IA 52552-8500
Phone (641) 664-3667

Other identifiers 1

IdentifierTypeStateIssuer
1191494MedicaidIA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000778 IA Practitioner - Podiatry 5698714657 Practice locations: Centerville, IA; Ottumwa, IA; Knoxville, IA; Drakesville, IA; Bloomfield, IA; Albia, IA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-3482

110 N Dodge St
Bloomfield, IA 52537-1453

16896 Iris Blvd
Drakesville, IA 52552-8500
Phone (641) 664-1996

908 S Park Lane Dr
Knoxville, IA 50138-3176
Phone (641) 828-7878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as individual
Quality
65.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue191
Removal of skin lesions1-10
Removal of nail tissue2235
Removal or shaving of skin growth636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00699IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Care Center Inc Past Accepting new patients
Homestead of Knoxville Operations LLC Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients
Knoxville Community Hospital Inc Past Accepting new patients
Ottumwa Regional Health Center Inc Past Accepting new patients

Organizations & group practices 5

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1295803229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16896 IRIS BLVD",
            "city": "DRAKESVILLE",
            "state": "IA",
            "postal_code": "525528500",
            "telephone_number": "641-664-3667",
            "fax_number": "641-664-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N. DODGE ST.",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371463",
            "telephone_number": "641-664-3667",
            "fax_number": "641-664-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "SUSAN",
        "middle_name": "CATHERINE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191494",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.