Individual provider Active NPI

Emad Mustafa Dodin, MD

  • Interventional Cardiology Physician
  • Eau Claire, WI
National Provider Identifier
1295929255
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
69355 Issued in WI
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

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q059969MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN, MO, IA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180620000808 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709896244 Reassigns benefits to 1 organization
I20200813002398 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709896244 Reassigns benefits to 1 organization
I20250520004433 MO Practitioner - Interventional Cardiology 6709896244 Reassigns benefits to 2 organizations
I20260311000427 IA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6709896244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

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 Hospital, Altoona, WI, CCN 520196
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025013454MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Memorial Physician Group, Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince May 16, 2025 Accepting new patients
Lester E Cox Medical Centers Cardiovascular Disease CurrentSince May 16, 2025 Accepting new patients
Oakleaf Clinics Inc CurrentSince Oct 7, 2024 Accepting new patients
Trinity Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince May 16, 2025 Accepting new patients
Skaggs Community Hospital Association Interventional Cardiology CurrentSince May 16, 2025 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

  • Direct secure messaging: edodin29712@oakleafmed.gardenplot.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.