William R Jongewaard, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

29665 Issued in IA

Practice address

1201 2ND Ave
Suite 6
Sheldon, IA 51201-1960

Phone

(712) 324-3298

Fax

(712) 324-8233

NPI assigned

Jan 17, 2006

Last updated

Nov 27, 2023By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Iowa, RJ & L Carver College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sanford Health Network

  dba Sanford Health Lake Park Clinic

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• General Surgery, P.C.

  • Surgery Physician
  • Sheldon, IA
  • NPI 1508846635
  NPD (past)

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

• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336128453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "address_2": "PO BOX 347",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011960",
            "telephone_number": "712-324-3298",
            "fax_number": "712-324-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "address_2": "SUITE 6",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011960",
            "telephone_number": "712-324-3298",
            "fax_number": "712-324-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGEWAARD",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "29665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111369",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jolene Rachel Hofmeyer, DPT
• Matthiew Hoogland
• Hy-Vee Inc (Hy-Vee Pharmacy (1573))
• Sarah Nicole Jenness
• Allen S Jones, O.D.
• Haley Jungers, OTR/L
• Piet Koene
• Kayla Kruger
• Jenna Lee Leuthold, COTA/L
• Scott Alan Lichty, M.D.

• Surgery Physician in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.