Individual provider Active NPI

Adrian Dreessen, MD

  • Emergency Medicine Physician
  • Council Bluffs, IA
National Provider Identifier
1396795779
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35225 Issued in IA
Practice address
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone
(712) 328-5230
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35225 IA Primary

Addresses

Primary practice location

800 Mercy Dr
Council Bluffs, IA 51503-3128

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 15

IdentifierTypeStateIssuer
233301OtherNEMLDCH AND MUTL OF OMAHA
100251147-00MedicaidNE
39-01551OtherIASHARE ADVNT IOWA
100249951-00MedicaidNE
P00068630OtherNERAILORAD MEDICARE
P00116322OtherIARRCARE FOR IOWA
100251217-00MedicaidNE
39-01552OtherNESHAREADVANTAGE
01304OtherIABCBSNE FOR IOWA
3568014MedicaidIA
39-01550OtherNESHAREADVANTAGE
5568014MedicaidIA
4568014MedicaidIA
01173OtherNEBCBS
35229OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040102000344 NE Practitioner - Emergency Medicine 2264331842 Reassigns benefits to 1 organization
I20040609001165 IA Practitioner - Emergency Medicine 2264331842 Reassigns benefits to 4 organizations
I20200617003044 SD Practitioner - Emergency Medicine 2264331842 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35225IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Iowa PC Emergency Medicine CurrentSince Jul 1, 2003 Accepting new patients
City of Brookings CurrentSince May 25, 2020 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 31, 2023 Accepting new patients
New Century Physicians of Nebraska LLC Emergency Medicine CurrentSince Jul 1, 2003 Accepting new patients
Avera St. Lukes CurrentSince Oct 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 31, 2023 Accepting new patients
City of Brookings Current Accepting new patients
Sacred Heart Health Services CurrentSince Jun 1, 2020 Accepting new patients
Woodbury Emergency Group, PC Emergency Medicine CurrentSince Mar 27, 2021 Accepting new patients
Sacred Heart Health Services CurrentSince Jun 1, 2020 Accepting new patients
New Century Physicians of Nebraska LLC Emergency Medicine CurrentSince Jul 1, 2003 Accepting new patients
Avera St. Luke'S CurrentSince Oct 1, 2021 Accepting new patients
Iowa Emergency Services LLC Emergency Medicine CurrentSince Apr 6, 2018 Accepting new patients
City of Brookings CurrentSince May 25, 2020 Accepting new patients
University Health Physicians Emergency Medicine Past Accepting new patients
Nebraska Emergency Medicine PC Emergency Medicine Past Accepting new patients

Locations

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

2771 Solution Ctr
Chicago, IL 60677

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

4750 Hempstead Station Dr
Kettering, OH 45429

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1396795779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "712-328-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREESSEN",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "35225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLDCH AND MUTL OF OMAHA",
            "identifier": "233301",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251147-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHARE ADVNT IOWA",
            "identifier": "39-01551",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249951-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILORAD MEDICARE",
            "identifier": "P00068630",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRCARE FOR IOWA",
            "identifier": "P00116322",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251217-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHAREADVANTAGE",
            "identifier": "39-01552",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE FOR IOWA",
            "identifier": "01304",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3568014",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHAREADVANTAGE",
            "identifier": "39-01550",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5568014",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568014",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01173",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.