NPIMap

Individual provider Active NPI

Jonathan David Hart, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
National Provider Identifier
1528232295
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25423 Issued in NE
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-3656
Fax
(319) 356-2220
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 49042020 WI
Diagnostic Radiology Physician 2085R0202X 38361 IA
Diagnostic Radiology Physician 2085R0202X 25423 NE Primary
Diagnostic Radiology Physician 2085R0202X 0434048 KS

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 463-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000131 NE Practitioner - Diagnostic Radiology 4789757949 Reassigns benefits to 7 organizations
I20240910000692 TX Practitioner - Diagnostic Radiology 4789757949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians
Hastings Radiology Associates PCGroup PAC ID 5890690390, 4 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 461-5191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38361IAMDDiagnostic Radiology Physician
0434048KSMDDiagnostic Radiology Physician
25423NEMDDiagnostic Radiology Physician
49042020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2024 Accepting new patients
Advanced Radiology of Grand Island, PC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Dec 9, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology Past Accepting new patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

527 N Diers Ave
Ste 3
Grand Island, NE 68803
Phone (308) 675-3211

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Interoperability endpoints

  • Direct secure messaging: jhart626928@direct.peacehealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1528232295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-463-0404",
            "fax_number": "402-462-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-3656",
            "fax_number": "319-356-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "49042020",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38361",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "25423",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0434048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.