Active NPI
Fred J Dery Jr., MD
- Interventional Pain Medicine Physician
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 38968
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457569188 | Medicaid | IA | |
| I75560005 | Other | IA | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy Services, LTD.
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
- Washington County Hospital and Clinics
- Jefferson County Health Center
- Henry County Health Center
- Compass Memorial Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38968 | IA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steindler Orthopedic Clinic, PLC | Interventional Pain Medicine | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- North Liberty, IA
- NPI 1942276621
Interventional Pain Medicine
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1740538974
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
- Critical Access Hospital
- Marengo, IA
- NPI 1053368191
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
-
- Critical Access Hospital
- Washington, IA
- NPI 1053305326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.