David W.R. Dierks, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4042 Issued in IA

Practice address

1227 E Rusholme St
Davenport, IA 52803-2459

Phone

(563) 421-7701

NPI assigned

May 29, 2008

Last updated

Apr 12, 2021By 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

Electronic endpoints 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

Merit-based Incentive Payment System (MIPS)

Final score

92.79 of 100Reported as group

Quality

89.26

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

50.17 of 100Reported as apm

Quality

55.61

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.dierks@direct.genesishealth.com
• Direct secure messaging: ddierks964192@direct.unitypoint.org

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.

• East Central Iowa Acute Care, PLLC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1386611291
  Medicare reassignment NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901

  Emergency Medicine

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  dba GCMH Professional Services

  • Emergency Medicine Physician
  • Grundy Center, IA
  • NPI 1114012085
  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Medicare reassignment NPD
• Jackson County Public Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maquoketa, IA
  • NPI 1689705949
  Medicare reassignment NPD
• People's Memorial Hospital

  dba Buchanan County Health Center

  • Emergency Medicine Physician
  • Independence, IA
  • NPI 1336281245
  Medicare reassignment NPD
• St Luke's Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741
  Medicare reassignment NPD
• St. Luke's Jones Regional Medical Center

  dba Jones Regional Medical Center Physician Services

  • Emergency Medicine Physician
  • Anamosa, IA
  • NPI 1942397328
  Medicare reassignment NPD
• People's Memorial Hospital

  dba Buchanan County Health Center

  • Critical Access Hospital
  • Independence, IA
  • NPI 1265595144
  Medicare reassignment
• Grundy County Memorial Hospital

  • Registered Dietitian
  • Grundy Center, IA
  • NPI 1689211146
  NPD
• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Skilled Nursing Facility
  • Maquoketa, IA
  • NPI 1164486551
  NPD
• People's Memorial Hospital

  dba BCHC Oelwein Pharmacy

  • Community/Retail Pharmacy
  • Oelwein, IA
  • NPI 1588274302
  NPD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1457519191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "602-770-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKS",
        "first_name": "DAVID",
        "middle_name": "W.R.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "R-8344",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.dierks@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "1227 E Rusholme St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janelle Dickman, PT
• Scott Eric Dickman, P.T.
• David Leroy Diehl, D.D.S.
• Kimberly Ann Diercks-Oetzel, D.C.
• Allen Lee Diercks, D.C.
• Dietrich Chiropractic PC
• L. Anthony Dietrich, DC
• Carol M. Dietsch, ARNP
• James Stevan Digman, RPH
• Alexa Dillin, PA-C

• Emergency Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.