Djonggi W Situmeang, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29357 Issued in IA

Practice address

501 S White St
Suite 1
Mt Pleasant, IA 52641-2600

Phone

(319) 385-6700

Fax

(319) 385-6703

NPI assigned

Nov 3, 2006

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

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

Family Practice

Education

Mayo Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine of Mt. Pleasant, P.C.Group PAC ID 6406745306, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Home Health Home health agency, West Burlington, IA, CCN 167136
• Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356
• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057

Merit-based Incentive Payment System (MIPS)

Final score

92.25 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

74.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21701/brand/1/csg/1/fhir/r4

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.

• Family Medicine of Mt. Pleasant, P.C.

  • Family Medicine Physician
  • Mt Pleasant, IA
  • NPI 1427153998
  Medicare reassignment Care Compare group NPD

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

• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mount Pleasant, IA
  • NPI 1811571417
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • Home Health Agency
  • West Burlington, IA
  • NPI 1760461644
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1396824165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 1",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700",
            "fax_number": "319-385-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 1",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700",
            "fax_number": "319-385-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITUMEANG",
        "first_name": "DJONGGI",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "29357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086926",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Shepherd, D.C.
• Adam G Shroyer, DDS
• Shull Chiropractic Center
• Matthew G Shull, D.C.
• Jeffery Edward Sitar, D.D.S.
• Robert W Smith, M.D.
• Trina Jenae Smith, ARNP
• Ashley Snyder
• Lisa Sue Sotelo
• Southeastern Renal Dialysis L.C.

• Family Medicine Physician in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.