Mahaska County Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAHASKA COUNTY HOSPITAL

Doing business as

Mahaska Health

Practice address

1229 C Ave E
Oskaloosa, IA 52577-4298

Phone

(641) 672-3100

Fax

(641) 672-3336

NPI assigned

Aug 15, 2006

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Deronde

Title

Ceo

Phone

(641) 672-3100

Specialties & licenses 8

Addresses

Other names 1

• MAHASKA HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in IA, TN, MO, TX, CO, MA, FL, WA, CA, PA, MD, DC, AZ, NY, OR, OH, GA, NM, NH, AL, NC, WV, NE, IL, SD, OK26 enrollments

Enrollment records 26

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mahaska County Hospital

  dba Mahaska Health Hospice

  • Community Based Hospice Care Agency
  • Oskaloosa, IA
  • NPI 1003886110

  2769388677

  Same PAC ID
• Mahaska County Hospital

  dba CareRx Mahaska Health

  • Community/Retail Pharmacy
  • Oskaloosa, IA
  • NPI 1255107959

  2769388677

  Same PAC ID
• Mahaska County Hospital

  dba Mahaska Health

  • Medicare Defined Swing Bed Hospital Unit
  • Oskaloosa, IA
  • NPI 1275513988

  2769388677

  Same PAC ID
• Mahaska County Hospital

  dba Mahaska Health

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659

  2769388677

  Same PAC ID
• Mahaska County Hospital

  dba Mahaska Health Sleep and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Oskaloosa, IA
  • NPI 1720429079

  2769388677

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mahaska County Hospital

  dba Mahaska Health Partnership

  • Community/Behavioral Health Agency
  • Oskaloosa, IA
  • NPI 1578652426

  O20041202000965

  Same enrollment
• Mahaska County Hospital

  dba Mahaska Health

  • Emergency Medical Services (Emergency Medicine) Physician
  • Oskaloosa, IA
  • NPI 1639159304

  O20041202000965

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mahaska County Hospital

  dba CareRx Mahaska Health

  • Community/Retail Pharmacy
  • Oskaloosa, IA
  • NPI 1255107959

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oskaloosa Care Center, Inc.

  • Skilled Nursing Facility
  • Oskaloosa, IA
  • NPI 1740441047

  Adp of the SNF

  CMS ownership

Practitioners 180

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Macrae Harvin, M.D.

  • Diagnostic Radiology Physician
  • Ames, IA
  • NPI 1295097970
  Medicare reassignment Care Compare group NPD
• Scott Michael Truhlar, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1326095704

  OR

  Medicare reassignment Care Compare group NPD
• Sumeet Bahl, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1598104929
  Medicare reassignment Care Compare group NPD
• Theodore D Baker, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1508861287
  Medicare reassignment Care Compare group NPD
• David J Bodne, MD

  • Diagnostic Radiology Physician
  • Brooks, GA
  • NPI 1316944697

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Matthew Dulles Bourne, DO

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1619437779

  DC

  Medicare reassignment Care Compare group NPD
• Sean Chang, M.D.

  • Neuroradiology Physician
  • Oxnard, CA
  • NPI 1801108568

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Le Yu Chiu, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
  • NPI 1457812042
  Medicare reassignment Care Compare group NPD
• Timothy A. Conner, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1750385357

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD
• Muneer Janak Desai, MD

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1376516021
  Medicare reassignment Care Compare group NPD
• Jason R. Divito, D.O.

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1558604876
  Medicare reassignment Care Compare group NPD
• Sean Alexander Feinberg, MD

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1104273549

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1407869852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3100",
            "fax_number": "641-672-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3100",
            "fax_number": "641-672-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHASKA COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DERONDE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-672-3100"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHASKA HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahaska County Hospital (Mahaska Health Hospice)
• Mahaska County Hospital (New Directions)
• Mahaska County Hospital (CareRx Mahaska Health)
• Mahaska County Hospital (Mahaska Health)
• Mahaska County Hospital (Mahaska Health)
• Mahaska County Hospital (New Directions)
• Mahaska County Hospital (Mahaska Health Partnership)
• Mahaska County Hospital (Mahaska Health)
• Mahaska County Hospital (Mahaska Health)
• Mahaska County Hospital (Mahaska Health Sleep and Medical Supplies)

• Family Medicine Physician in Oskaloosa, IA
• Providers in Oskaloosa, 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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.