NPIMap

Individual provider Active NPI

Thomas Z Schmadeke, PA

  • Physician Assistant
  • Red Oak, IA
National Provider Identifier
1760455083
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001920 Issued in IA
Practice address
1400 Senate Ave
Red Oak, IA 51566-1271
Phone
(712) 623-5534
Fax
(712) 623-7279
NPI assigned
Feb 8, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9796 MN
Physician Assistant 363A00000X 001920 IA Primary

Addresses

Primary practice location

1400 Senate Ave
Red Oak, IA 51566-1271

Mailing address

2301 Eastern Ave
Red Oak, IA 51566-1305
Phone (712) 623-5534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCTschmadeke@mcmh.cernerdirect.com Health Information Exchange (HIE)

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
I20081028000039 IA Practitioner - Physician Assistant 2062454150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

1400 Senate Ave
Red Oak, IA 51566-1271
Phone (712) 623-6335

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9796MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Physician Assistant CurrentSince Mar 1, 2009 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Clarinda Regional Health Center CurrentSince Apr 1, 2013 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Mar 1, 2009 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

1400 Senate Ave
Red Oak, IA 51566
Phone (712) 623-7250

1400 Senate Ave
Ste 105
Red Oak, IA 51566
Phone (712) 623-7250

1400 Senate Ave
Ste 108
Red Oak, IA 51566
Phone (712) 623-7250

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

205 N U Ave
Villisca, IA 50864
Phone (712) 826-4422

309 S 5th Ave
Villisca, IA 50864
Phone (712) 826-3003

Interoperability endpoints

  • Direct secure messaging: mctschmadeke@mcmh.cernerdirect.com

Organizations & group practices 4

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 6

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1760455083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EASTERN AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661305",
            "telephone_number": "712-623-5534",
            "fax_number": "712-623-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SENATE AVE",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661271",
            "telephone_number": "712-623-5534",
            "fax_number": "712-623-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMADEKE",
        "first_name": "THOMAS",
        "middle_name": "Z",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9796",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCTschmadeke@mcmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MCTschmadeke@mcmh.cernerdirect.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2301 Eastern Ave",
            "city": "Red Oak",
            "state": "IA",
            "country_code": "US",
            "postal_code": "51566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

Verify at the official NPI Registry.