Lucas Mihalovich, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05197 Issued in IA

Practice address

405 Monroe St
Pella, IA 50219-1290

Phone

(641) 621-2200

Fax

(641) 621-2335

NPI assigned

Jun 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pella Regional Health Center Hospital, Pella, IA, CCN 161367

Merit-based Incentive Payment System (MIPS)

Final score

91.84 of 100Reported as group

Quality

91.13

Promoting interoperability

100

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Pella Regional Health Center

  • Multi-Specialty Clinic/Center
  • Pella, IA
  • NPI 1053369405

  Family Medicine

  Medicare reassignment NPD
• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Medicare reassignment NPD
• Pella Regional Health Center

  • Community/Retail Pharmacy
  • Prairie City, IA
  • NPI 1033787445
  NPD

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

• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Care Compare affiliation

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1619358579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-621-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-621-2200",
            "fax_number": "641-621-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 N Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525013866",
            "country_code": "US",
            "telephone_number": "641-455-5200",
            "fax_number": "641-455-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALOVICH",
        "first_name": "LUCAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "05197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "05197",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prhc@direct.pellahealth.kobledirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Monroe St",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502191290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trupti Sanjay Mehta, M.D.
• Grant Allen Meier
• Elise Menning, OTR/L
• Meraki Mental Health, PLLC
• Michael McCubbin, MD, PC
• Jeffrey Christopher Millet, D.D.S.
• VI Missiaen
• Abby E. Mockenhaupt, OTR/L
• Ruth Kernyuy Bame Mome, MD
• Matt Aaron Morgan, D.O.

• Family Medicine Physician in Pella, IA
• Providers in Pella, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.