Individual provider Active NPI

Michael J Qualey, MD

  • Anesthesiology Physician
  • Mason City, IA
National Provider Identifier
1629015607
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33174 Issued in IA
Practice address
1000 4TH St SW
Mason City, IA 50401-2800
Phone
(641) 422-7000
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33174 IA Primary

Addresses

Primary practice location

1000 4TH St SW
Mason City, IA 50401-2800

Mailing address

1410 6TH St SW
Mason City, IA 50401-4818
Phone (641) 424-6704

Other identifiers 2

IdentifierTypeStateIssuer
0203521MedicaidIA
14604OtherIABLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mc.mmcmc.him@direct.2.mycarefile.org Direct MercyOne North Iowa Medical Center

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
I20100817001600 IA Practitioner - Anesthesiology 0941277552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Wisconsin School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mercyone North Iowa Anesthesia Prof
Mason City, IA 50401-2800
Phone (641) 428-7000

Hospital & facility affiliations

  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33174IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince May 1, 2021 Accepting new patients
North Iowa Mercy Clinics Anesthesiology CurrentSince May 1, 2021 Accepting new patients
MHC Anesthesia Services Anesthesiology CurrentSince Dec 30, 2017 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

990 4th St SW
Mason City, IA 50401
Phone (641) 494-2000

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • Direct secure messaging: mqualey3926016@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1629015607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014818",
            "telephone_number": "641-424-6704",
            "fax_number": "641-424-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-422-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "33174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203521",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14604",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.