Roy Lidtke, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

555 Issued in IA

Practice address

1215 Blairs Ferry Rd
Marion, IA 52302-3016

Phone

(319) 363-8854

Fax

(319) 363-0807

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Merit-based Incentive Payment System (MIPS)

Final score

80.76 of 100Reported as group

Quality

75.82

Promoting interoperability

81

Improvement activities

40

Cost

75.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rlidtke40983@direct.unitypoint.org

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.

• St. Luke'S Methodist Hospital

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1073553939
  Medicare reassignment Care Compare group NPD
• Stanley Mathew, MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Cedar Rapids, IA
  • NPI 1720312465
  Medicare reassignment NPD
• City of Elberon

  • Land Ambulance
  • Elberon, IA
  • NPI 1093894388
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Foot and Ankle Specialists of Iowa

  • Foot & Ankle Surgery Podiatrist
  • Marion, IA
  • NPI 1992836316
  NPD (past)
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

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

• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386641165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BLAIRS FERRY ROAD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "52302",
            "telephone_number": "319-363-8854",
            "fax_number": "319-363-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023016",
            "telephone_number": "319-363-8854",
            "fax_number": "319-363-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDTKE",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "555",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6000038C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Lefebure, PHARMACIST
• Erin Anna Lehs, DC
• Edward Joseph Lenz Jr., D.D.S.
• Liberty Home Care PLLC
• Laura Liddle, MA, CCC-SLP
• Life Long Living Solutions, PLLC
• Shari Lynnette Limbert, RPH
• Linn County Eye Care PLC
• Linn-Mar Community School District
• Linnhaven, Inc

• Podiatrist in Marion, IA
• Providers in Marion, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.