Individual provider Active NPI

Dustin Leclere Arnold, D.O.

  • Hospitalist Physician
  • Cedar Rapids, IA
National Provider Identifier
1689617144
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
03111 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 368-5970
Fax
(319) 368-5973
NPI assigned
Jun 13, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 03111 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 368-5970

Other identifiers 3

IdentifierTypeStateIssuer
4183301MedicaidIA
25730OtherIABLUE CROSS BLUE SHIELD
P00339683OtherIARR MEDICARE

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
I20041111001041 IA Practitioner - Internal Medicine 9234193038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03111IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Methodist Hospital CurrentSince Sep 15, 2005 Accepting new patients
St Luke's Methodist Hospital CurrentSince Sep 15, 2005 Accepting new patients
Iowa Physicians Clinic Medical Foundation Hospitalist CurrentSince Nov 1, 2011 Accepting new patients
Iowa Physicians Clinic Medical Foundation Hospitalist CurrentSince Nov 1, 2011 Accepting new patients
St Luke's Jones Regional Medical Center CurrentSince Mar 8, 2014 Accepting new patients
St. Luke's Jones Regional Medical Center CurrentSince Mar 8, 2014 Accepting new patients
Rebelsky Family Practice LLC Past Accepting new patients
Hospitalist Medicine Physicians of Iowa, PLC Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

115 8th St NE
Cedar Rapids, IA 52401
Phone (319) 363-3565

3425 1st Ave SE
Cedar Rapids, IA 52402

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

802 Kenyon Rd
#T
Fort Dodge, IA 50501

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

400 S Blairsferry Crossing
Hiawatha, IA 52233
Phone (319) 368-5582

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Interoperability endpoints

  • Direct secure messaging: darnold1302@direct.unitypoint.org

Organizations & group practices 8

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.

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1689617144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5970",
            "fax_number": "319-368-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5970",
            "fax_number": "319-368-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "DUSTIN",
        "middle_name": "LECLERE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "03111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4183301",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25730",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00339683",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.