Joseph Tabb Standard, MD
Individual provider Active NPI Family Medicine Physician · Davenport, IA
NPI 1609360205 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1609360205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R-11191 (IA)
- Practice address
- 1345 W Central Park Ave
Davenport, IA 52804-1844 - Phone
- (563) 421-4400
- Fax
- (563) 421-4449
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555
1000 W Morton Ave
Jacksonville, IL 62650-3152
Phone (217) 243-6520
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
2200 Wabash Ave
Springfield, IL 62704-5352
Phone (217) 787-0727
250 W Kenwood Ave
Decatur, IL 62526-4371
Phone (217) 528-7541
350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 525-0210
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
600 N Main St
Taylorville, IL 62568-1668
Phone (217) 824-8191
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 N 1St St
Springfield, IL 62702-3719
Phone (217) 528-7541
900 N 1St St
Springfield, IL 62702-3749
Phone (217) 528-7541
Hospital & facility affiliations
- Elara Caring V
- Enhabit Home Health
- HSHS Home Care Illinois
- Hospice Care of Illinois
- Memorial Medical Center
- St Johns Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Apr 1, 2024 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Apr 1, 2024 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Apr 1, 2024 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Apr 1, 2024 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210714000644 | IL | Practitioner - Family Practice | 2163779638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients |
Locations
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
2200 Wabash Ave
Springfield, IL 62704
Interoperability endpoints
- joseph.standard.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-11191 | IA | Yes |
Addresses
Primary practice location
1345 W Central Park Ave
Davenport, IA 52804-1844
Mailing address
1345 W Central Park Ave
Davenport, IA 52804-1844
Phone (563) 421-4400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joseph.standard@direct.genesishealth.com | Direct |
Other providers in Davenport, IA
- Dan L Stadelman
- Stage Coach Medical Transport, LLC
- Caitlyn Stakeley
- Thomas Robert Staley
- Taylor Renee Stamm
- Star Medical Equipment, LLC
- Stark Chiropractic, LTD.
- Troy D. Stark
- Rachel J Staron
- Hallie Anne Starr
All providers in Davenport, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.