Active NPI
Emad Mustafa Dodin, MD
- Interventional Cardiology Physician
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 69355
- Practice address
- 3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016 - Phone
- (715) 839-9280
- Fax
- (715) 831-0052
- NPI assigned
- Sep 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 69355 | WI | |
| Interventional Cardiology Physician | 207RI0011X | 69355 | WI | Primary |
| Interventional Cardiology Physician | 207RI0011X | 2025013454 | MO |
Addresses
Primary practice location
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Mailing address
2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784
Other practice location 1
3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000
Other practice location 2
1150 State Highway 248 Ste 200
Branson, MO 65616-4186
Phone (417) 336-4112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q059969 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TN, MO, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180620000808 | WI | Practitioner - Interventional Cardiology | 6709896244 | Reassigns benefits to 1 organization |
| I20200813002398 | TN | Practitioner - Interventional Cardiology | 6709896244 | Reassigns benefits to 1 organization |
| I20250520004433 | MO | Practitioner - Interventional Cardiology | 6709896244 | Reassigns benefits to 2 organizations |
| I20260311000427 | IA | Practitioner - Interventional Cardiology | 6709896244 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Lake Ave W
Ladysmith, WI 54848-1062
Phone (715) 532-0203
1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112
3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242
3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280
617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 834-2788
800 Kenyon Rd
Suite Z
Fort Dodge, IA 50501-5776
Phone (515) 206-7270
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248
Hospital & facility affiliations
- Oakleaf Surgical Hospital
- Cox Medical Center Branson
- Trinity Regional Medical Center
- Cox Medical Centers
- Cumberland Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.77 of 100
- Quality
- 58.61
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 24 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025013454 | MO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Family Medicine | Current | Accepting new patients |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Cardiovascular Disease | Current | Accepting new patients |
| Oakleaf Clinics Inc | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Family Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Interventional Cardiology | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
800 Kenyon Rd
Ste Z
Fort Dodge, IA 50501
Phone (515) 206-7270
1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482
162 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6161
463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100
3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784
719 W Hamilton Ave
Ste B
Eau Claire, WI 54701
3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130
Interoperability endpoints
- edodin29712@oakleafmed.gardenplot.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Springfield, MO
- NPI 1750036703
Cardiovascular Disease, MO
-
- Interventional Cardiology Physician
- Branson, MO
- NPI 1902834625
Interventional Cardiology, MO
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Family Medicine, TN
-
- Radiology Clinic/Center
- Eau Claire, WI
- NPI 1669865705
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- Family Medicine Physician
- Branson, MO
- NPI 1356291298
Family Medicine
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1295929255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 FOLSOM ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547032435",
"telephone_number": "715-552-9784",
"fax_number": "715-835-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013016",
"telephone_number": "715-839-9280",
"fax_number": "715-831-0052"
}
],
"practiceLocations": [
{
"address_1": "3800 S National Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658075272",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 State Highway 248 Ste 200",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656164186",
"country_code": "US",
"telephone_number": "417-336-4112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODIN",
"first_name": "EMAD",
"middle_name": "MUSTAFA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "69355",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WI",
"license": "69355",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2025013454",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q059969",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.