Individual provider Active NPI

Brian K Shedek, D.O.

  • Emergency Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1346447588
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3990 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7211
NPI assigned
Jun 29, 2007
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3990 IA Primary
Emergency Medicine Physician 207P00000X R-8104 IA

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

Other identifiers 1

IdentifierTypeStateIssuer
1346447588MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091008000591 IA Practitioner - Emergency Medicine 6608912431 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
89.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3990IAMDEmergency Medicine Physician
R-8104IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Sep 24, 2018 Accepting new patients
St Luke's Jones Regional Medical Center CurrentSince Oct 20, 2009 Accepting new patients
Unitypoint Health - Marshalltown Emergency Medicine CurrentSince Sep 24, 2018 Accepting new patients
People's Memorial Hospital Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
People's Memorial Hospital CurrentSince Apr 1, 2014 Accepting new patients
Marengo Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Grundy County Memorial Hospital Current Accepting new patients
St Luke's Jones Regional Medical Center CurrentSince Oct 20, 2009 Accepting new patients
St. Luke's Jones Regional Medical Center Emergency Medicine CurrentSince Jun 21, 2023 Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

Interoperability endpoints

  • Direct secure messaging: bshedek239442@uihcdirect.org
  • Direct secure messaging: bshedek41472@direct.unitypoint.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1346447588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDEK",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "3990",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "R-8104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346447588",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.