Daniel Desjardins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-47338 Issued in IA

Practice address

518 Lincolnway St
Woodbine, IA 51579-1238

Phone

(712) 647-2566

Fax

(712) 647-2964

NPI assigned

Jul 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

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

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alegent Health Community Memorial Hospital of Missouri Valley Iowa

  dba CHI Health Missouri Valley

  • Family Medicine Physician
  • Missouri Valley, IA
  • NPI 1023154176
  Medicare reassignment NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba Alegent Health CMH Practitioner Services

  • Family Medicine Physician
  • Missouri Valley, IA
  • NPI 1043356108
  NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba CHI Health Clinic Oakland

  • Rural Health Clinic/Center
  • Oakland, IA
  • NPI 1366063794
  NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba CHI Health Missouri Valley

  • Critical Access Hospital
  • Missouri Valley, IA
  • NPI 1508964123
  NPD

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407379159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LINCOLNWAY ST",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515791238",
            "telephone_number": "712-647-2566",
            "fax_number": "712-647-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LINCOLNWAY ST",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515791238",
            "telephone_number": "712-647-2566",
            "fax_number": "712-647-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 Mercy Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242353",
            "country_code": "US",
            "telephone_number": "402-280-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "8101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-47338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Woodbine)
• Ryan Michael Allen, CPTA
• Bridget-NP PLLC (Hometown Wellness Collective Psychiatric Services)
• Madelyn Lee Brunow, RNC, IBCLC, RLC
• Calvin Ray Christophersen, D.C.
• Anthony Dimari, TLMHC
• DT Woodbine, LLC
• Efficient Health PLLC
• Fletcher Counseling LLC
• Nicholas Fly

• Family Medicine Physician in Woodbine, IA
• Providers in Woodbine, 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 Jul 21, 2022; 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.