Individual provider Active NPI

Dwight J Schroeder, MD

  • Psychiatry Physician
  • Cedar Rapids, IA
National Provider Identifier
1528047081
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21571 Issued in IA
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

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0194035MedicaidIA

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
I20100527000535 IA Practitioner - Psychiatry 9234103466 Reassigns benefits to 1 organization

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
Abbe Management CorpGroup PAC ID 0446140222, 15 clinicians

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

LicenseStateTypeSpecialty
21571IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Abbe Management Corp CurrentSince Jun 21, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.