NPIMap

Individual provider Active NPI

Edward Brian Ortell, DO

  • Surgery Physician
  • Ottumwa, IA
National Provider Identifier
1346236940
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3557 Issued in IA
Practice address
1005 Pennsylvania Ave
Ottumwa, IA 52501-6413
Phone
(641) 684-2927
Fax
(641) 684-2926
NPI assigned
Sep 20, 2005
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3557 IA Primary
Colon & Rectal Surgery Physician 208C00000X 3557 IA

Addresses

Primary practice location

1005 Pennsylvania Ave
Ottumwa, IA 52501-6413

Mailing address

1005 Pennsylvania Ave
Ottumwa, IA 52501-6413
Phone (641) 684-2927

Other identifiers 6

IdentifierTypeStateIssuer
34520OtherIAWELLMARK INC BCBS OF IA
420681060B5OtherIAJOHN DEERE HEALTH
212484OtherIAIA HEALTH SOLUTIONS
P00052611OtherIARAILROAD MEDICARE
H005OtherIATRIWEST
1267864MedicaidIA

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
I20040227000242 IA Practitioner - General SurgeryPractitioner - Osteopathic Manipulative Medicine 8123914827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3557IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Hospital CurrentSince Aug 23, 2024 Accepting new patients
Ottumwa Health Group LLC CurrentSince Apr 1, 2013 Accepting new patients
Jefferson County Hospital CurrentSince Oct 11, 2025 Accepting new patients
Ottumwa Health Group LLC CurrentSince Apr 1, 2013 Accepting new patients
Jefferson County Hospital CurrentSince Aug 23, 2024 Accepting new patients
Jefferson County Hospital Past Accepting new patients

Locations

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

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

1005 Pennsylvania Ave
Ste 211
Ottumwa, IA 52501
Phone (641) 664-2200

Organizations & group practices 6

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 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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1346236940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-684-2927",
            "fax_number": "641-684-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-684-2927",
            "fax_number": "641-684-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTELL",
        "first_name": "EDWARD",
        "middle_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "3557",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IA",
            "license": "3557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INC BCBS OF IA",
            "identifier": "34520",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "420681060B5",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA HEALTH SOLUTIONS",
            "identifier": "212484",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00052611",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "H005",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267864",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.