NPIMap

Individual provider Active NPI

Seth Streeter, DO

  • Family Medicine Physician
  • Prairie City, IA
National Provider Identifier
1497247688
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5458 Issued in IA
Practice address
404 E 2ND St
Prairie City, IA 50228-8829
Phone
(515) 994-2617
Fax
(515) 994-2365
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5458 IA Primary

Addresses

Primary practice location

404 E 2ND St
Prairie City, IA 50228-8829

Mailing address

404 E 2ND St
Prairie City, IA 50228-8829
Phone (515) 994-2617

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.pellahealth.org/locations/location-profile/medical-clinic-in-prairie-city/?utm_source=PRH-MC-PRAIRIE&utm_medium=Google-My-Business&utm_campaign=Local-Listings

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206002150 IA Practitioner - Family Practice 5890121081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

404 E 2ND St
Prairie City Medical Clinic
Prairie City, IA 50228-8829
Phone (515) 994-2617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5458IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pella Regional Health Center CurrentSince Jul 1, 2021 Accepting new patients
Pella Regional Health Center Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Pella Regional Health Center Current Accepting new patients

Locations

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

404 E 2nd St
Prairie City, IA 50228
Phone (515) 994-2617

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1497247688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 2ND ST",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "502288829",
            "telephone_number": "515-994-2617",
            "fax_number": "515-994-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 2ND ST",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "502288829",
            "telephone_number": "515-994-2617",
            "fax_number": "515-994-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "SETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.pellahealth.org/locations/location-profile/medical-clinic-in-prairie-city/?utm_source=PRH-MC-PRAIRIE&utm_medium=Google-My-Business&utm_campaign=Local-Listings",
            "affiliation": "N",
            "address_1": "404 E 2nd St",
            "city": "Prairie City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502288829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairie City, IA

Sources for this page

Verify at the official NPI Registry.