NPIMap

Individual provider Active NPI

Jeffrey John Doolittle, M.D.

  • Family Medicine Physician
  • Algona, IA
National Provider Identifier
1710095039
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34730 Issued in IA
Practice address
1519 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-7714
Fax
(515) 295-4505
NPI assigned
Aug 27, 2006
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-38088 KS
Family Medicine Physician 207Q00000X 34730 IA Primary

Addresses

Primary practice location

1519 S Phillips St
Algona, IA 50511-3649

Mailing address

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-7714

Other identifiers 1

IdentifierTypeStateIssuer
110173309OtherMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JeffreyDoolittle@komhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000606 IA Practitioner - Family Practice 1759362130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Kossuth Regional Health CenterGroup PAC ID 3375454259, 21 clinicians

Practice addresses (Care Compare)

1515 S Phillips St
Algona, IA 50511-3649

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-7714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Current Accepting new patients
Kossuth Regional Health Center Current Accepting new patients
North Iowa Mercy Clinics Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
North Iowa Mercy Clinics CurrentSince Jan 10, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Mercy Medical Center North Iowa Past Accepting new patients

Locations

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

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

1000 4th St SW
Ste Er
Mason City, IA 50401
Phone (641) 422-7234

1010 4th St SW
Ste 120
Mason City, IA 50401
Phone (515) 422-6020

621 S Illinois Ave
Ste 103
Mason City, IA 50401

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

616 N 8th St
Osage, IA 50461
Phone (641) 732-6000

Interoperability endpoints

  • Direct secure messaging: jeffreydoolittle@komhn.cernerdirect.com

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 5

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1710095039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-7714",
            "fax_number": "515-295-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-7714",
            "fax_number": "515-295-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-38088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110173309",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JeffreyDoolittle@komhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Kossuth Regional Health Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1519 S Phillips St",
            "city": "Algona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505113649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.