Individual provider Active NPI

Fred J Dery Jr., MD

  • Interventional Pain Medicine Physician
  • North Liberty, IA
National Provider Identifier
1457569188
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
38968 Issued in IA
Practice address
2301 Steindler Way Ste B
North Liberty, IA 52317-7907
Phone
(319) 338-3606
Fax
(319) 338-0522
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 38968 IA
Interventional Pain Medicine Physician 208VP0014X 38968 IA Primary

Addresses

Primary practice location

2301 Steindler Way Ste B
North Liberty, IA 52317-7907

Mailing address

2301 Steindler Way Ste B
North Liberty, IA 52317-7907
Phone (319) 338-3606

Other identifiers 2

IdentifierTypeStateIssuer
1457569188MedicaidIA
I75560005OtherIAMEDICARE PTAN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100728000916 IA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9234262205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Steindler Orthopedic Clinic PLCGroup PAC ID 7719879857, 39 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

2104 Cedarwood Dr
Suite 102
Muscatine, IA 52761-2668
Phone (319) 338-3606

2750 Mount Pleasant St
Suite 112
Burlington, IA 52601-2171
Phone (319) 338-3606

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

Hospital & facility affiliations

  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
  • Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356
  • Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38968IAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steindler Orthopedic Clinic, PLC Interventional Pain Medicine CurrentSince Aug 1, 2010 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Piper Family Medicine PC Past Accepting new patients

Locations

2750 Mount Pleasant St
Ste 112
Burlington, IA 52601
Phone (319) 338-3606

4000 River Ridge Dr NE
Ste 2
Cedar Rapids, IA 52402
Phone (319) 261-1379

2751 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3606

2301 Steindler Way
Ste B
North Liberty, IA 52317
Phone (319) 338-3606

Interoperability endpoints

  • FHIR API: https://eproxy.mercycare.org/oauth2/STEINDLER/api/FHIR/R4

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1457569188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STEINDLER WAY STE B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177907",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STEINDLER WAY STE B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523177907",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERY",
        "first_name": "FRED",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IA",
            "license": "38968",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IA",
            "license": "38968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457569188",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I75560005",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.