David W.R. Dierks, D.O.
Individual provider Active NPI Emergency Medicine Physician · Davenport, IA
NPI 1457519191 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1457519191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4042 (IA)
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-7701
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.79 of 100
- Quality
- 89.26
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.17 of 100
- Quality
- 55.61
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000087 | IA | Practitioner - Emergency Medicine | 5092839670 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4042 | IA | MD | Emergency Medicine Physician |
| R-8344 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Iowa Acute Care, PLLC | Emergency Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| Jackson County Public Hospital | Current |
Accepting new patients | |
| Genesis Health System | Emergency Medicine | Current |
Accepting new patients |
| People'S Memorial Hospital | Current |
Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current |
Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Current | Accepting new patients | |
| People'S Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| St. Luke'S Jones Regional Medical Center | Emergency Medicine | Current |
Accepting new patients |
| Jackson County Public Hospital | Current |
Accepting new patients | |
| Grundy County Memorial Hospital | Current |
Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1118 11th St
De Witt, IA 52742
Phone (563) 242-7522
201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474
3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700
Interoperability endpoints
- david.dierks@direct.genesishealth.com
- ddierks964192@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R-8344 | IA | |
| Emergency Medicine Physician | 207P00000X | 4042 | IA | Yes |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (602) 770-4373
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.dierks@direct.genesishealth.com | Direct |
Other providers in Davenport, IA
- Janelle Dickman
- Scott Eric Dickman
- David Leroy Diehl
- Kimberly Ann Diercks-Oetzel
- Allen Lee Diercks
- Dietrich Chiropractic PC
- L. Anthony Dietrich
- Carol M. Dietsch
- James Stevan Digman
- Alexa Dillin
All providers in Davenport, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.