NPIMap

Individual provider Active NPI

Shawn Dawson, M.D.

  • Family Medicine Physician
  • Ottumwa, IA
National Provider Identifier
1306834577
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33574 Issued in IA
Practice address
1013 Pennsylvania Ave
Suite a-C
Ottumwa, IA 52501
Phone
(641) 683-6868
Fax
(641) 683-6869
NPI assigned
Oct 11, 2005
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33574 IA Primary

Addresses

Primary practice location

1013 Pennsylvania Ave
Suite a-C
Ottumwa, IA 52501

Mailing address

1013 Pennsylvania Ave
Suite a-C
Ottumwa, IA 52501
Phone (641) 683-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031213000065 IA Practitioner - Family Practice 2769394295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ottumwa Health Group LLCGroup PAC ID 3971629924, 26 clinicians

Practice addresses (Care Compare)

1013 Pennsylvania Ave
Suite a C
Ottumwa, IA 52501-2110
Phone (641) 683-6868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33574IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center P C Family Medicine Current Accepting new patients
Ottumwa Health Group LLC CurrentSince Apr 1, 2013 Accepting new patients
Ottumwa Health Group LLC CurrentSince Apr 1, 2013 Accepting new patients
Ottumwa Health Group LLC Past Accepting new patients
University Health Physicians Family Medicine PastSince Nov 1, 2016 Accepting new patients

Locations

410 N 12th St
Ste 300
Oskaloosa, IA 52577
Phone (641) 672-2571

914 N 12th St
Oskaloosa, IA 52577
Phone (641) 672-2522

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1009 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 683-4300

1013 Pennsylvania Ave
Ste Ac
Ottumwa, IA 52501
Phone (641) 683-6868

Interoperability endpoints

  • Direct secure messaging: shawn.dawson.1@6270.direct.athenahealth.com

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 10

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1306834577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PENNSYLVANIA AVE",
            "address_2": "SUITE A-C",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-683-6868",
            "fax_number": "641-683-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PENNSYLVANIA AVE",
            "address_2": "SUITE A-C",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "52501",
            "telephone_number": "641-683-6868",
            "fax_number": "641-683-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "SHAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.