Heidi Gayle Dahlem, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37314 Issued in IA

Practice address

543 7TH St SE
Internist Associates of Iowa
Cedar Rapids, IA 52401-1929

Phone

(319) 861-7600

Fax

(319) 861-7601

NPI assigned

Mar 14, 2007

Last updated

Jul 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heidi Gayle Conn Former name

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

Specialty

Internal Medicine

Education

University of Iowa, RJ & L Carver College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Care Home health agency, Cedar Rapids, IA, CCN 167151
• Aveanna Healthcare Home health agency, Hiawatha, IA, CCN 167313
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Physician Associates, Inc

  dba Mercy Care Edgewood

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1427254952
  Medicare reassignment Care Compare group NPD
• Mercy Physician Associates Inc

  dba MercyCare Health at Mount Mercy

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1619554086
  NPD
• Mercy Physician Associates, Inc

  dba MercyCare North Liberty Urgent Care

  • Family Medicine Physician
  • North Liberty, IA
  • NPI 1306118310
  NPD
• Mercy Care Management, Inc

  dba Mercy Care South

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1306042890
  NPD (past)
• Mercy Care Management, Inc

  dba Mercy Care North

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1467659268
  NPD (past)
• Mercy Physician Associates, Inc

  dba Wayne A. Alberts, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1154527638
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  dba Mercy Home Care

  • Home Health Agency
  • Cedar Rapids, IA
  • NPI 1639119332
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• Recover Health of Iowa, Inc.

  dba Aveanna Home Health

  • Home Health Agency
  • Hiawatha, IA
  • NPI 1831196153
  Care Compare affiliation
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1619001781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 7TH ST SE",
            "address_2": "INTERNIST ASSOCIATES OF IOWA",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011929",
            "telephone_number": "319-861-7600",
            "fax_number": "319-861-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 7TH ST SE",
            "address_2": "INTERNIST ASSOCIATES OF IOWA",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011929",
            "telephone_number": "319-861-7600",
            "fax_number": "319-861-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEM",
        "first_name": "HEIDI",
        "middle_name": "GAYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-7258",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "37314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "70641",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "CONN",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiny Amore Cyrus, PTA
• Ann Czarnecki
• Tiffany Czarnomski, DPT
• D Colette Murphy DC PC
• Amit Kumar Dahiya, M.D
• Melanie Brooke Dahlhauser, ARNP
• George L Dakonsa
• Nasredin A Dalil, M.D.
• Anthony E Dallago, RN
• Don Calvin Damsteegt, PHD

• Internal Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.

Verify at the official NPI Registry.