Individual provider Active NPI

Thomas E Hakes, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Keokuk, IA
National Provider Identifier
1477562825
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
21510 Issued in IA
Practice address
1603 Morgan St
Ste 2
Keokuk, IA 52632-3433
Phone
(319) 524-6274
Fax
(319) 524-9068
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 21510 IA Primary

Addresses

Primary practice location

1603 Morgan St
Ste 2
Keokuk, IA 52632-3433

Mailing address

1001 Grand Ave
Keokuk, IA 52632-5035
Phone (319) 524-1366

Other identifiers 1

IdentifierTypeStateIssuer
0186593MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21510IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Keokuk PC Geriatric Medicine CurrentSince Nov 26, 2007 Accepting new patients

Locations

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1603 Morgan St
Keokuk, IA 52632
Phone (319) 524-4300

1603 Morgan St
#11011
Keokuk, IA 52632

1603 Morgan St
Ste 2
Keokuk, IA 52632
Phone (319) 524-6274

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477562825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GRAND AVE",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526325035",
            "telephone_number": "319-524-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MORGAN ST",
            "address_2": "STE 2",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323433",
            "telephone_number": "319-524-6274",
            "fax_number": "319-524-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "21510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186593",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.