Active NPI
Dwight J Schroeder, MD
- Psychiatry Physician
- Cedar Rapids, IA
National Provider Identifier
1528047081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21571
- Practice address
- 1730 1St Ave NE
Cedar Rapids, IA 52402-5433 - Phone
- (319) 365-3993
- Fax
- (319) 364-0116
- NPI assigned
- Jan 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21571 | IA | Primary |
Addresses
Primary practice location
1730 1St Ave NE
Cedar Rapids, IA 52402-5433
Mailing address
PO Box 1408
Cedar Rapids, IA 52406-1408
Phone (319) 365-3993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194035 | Medicaid | IA |
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
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 Boyson Rd
Hiawatha, IA 52233-2310
Phone (319) 396-1066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21571 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Abbe Management Corp | Current | Accepting new patients | |
| Abbe Center for Community Mental Health, Inc | Past | Accepting new patients | |
| Abbe Center for Community Mental Health, Inc | Past | Accepting new patients | |
| Cedar Centre Psychiatric Group | Psychiatry | Past | Accepting new patients |
| Brandis McFarland Ma, LMHC Mental Health Counseling PLLC | Past | Accepting new patients |
Locations
740 N 15th Ave
Ste A
Hiawatha, IA 52233
1510 Boyson Rd
Hiawatha, IA 52233
Phone (319) 396-1066
709 W Main St
Manchester, IA 52057
Phone (563) 927-3232
Interoperability endpoints
- dschroeder41417@direct.unitypoint.org
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hiawatha, IA
- NPI 1811998859
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1063586071
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1366299018
-
- Clinic/Center
- Cedar Rapids, IA
- NPI 1528573235
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1558338012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1528047081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1408",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524061408",
"telephone_number": "319-365-3993",
"fax_number": "319-364-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025433",
"telephone_number": "319-365-3993",
"fax_number": "319-364-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "DWIGHT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "21571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0194035",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.