Christina Goebel, MD
Individual provider Active NPI Family Medicine Physician · Fort Madison, IA
NPI 1760469589 · NPPES record last updated Oct 30, 2007
Key facts
- NPI
- 1760469589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37450 (IA)
- Practice address
- 5409 Ave O
Suite126
Fort Madison, IA 52627-9601 - Phone
- (319) 372-5925
- Fax
- (319) 372-1381
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070924000730 | IA | Practitioner - Emergency Medicine |
6305830043 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37450 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Boone County Hospital | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Current |
Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Boone County Hospital | Current |
Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Family Medicine | Current |
Accepting new patients |
Locations
1015 Union St
Boone, IA 50036
Phone (515) 432-3140
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
5409 Avenue O
Ste 126
Fort Madison, IA 52627
Phone (319) 372-5925
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37450 | IA | Yes |
Addresses
Primary practice location
5409 Ave O
Suite126
Fort Madison, IA 52627-9601
Mailing address
5409 Ave O
Suite126
Fort Madison, IA 52627-9601
Phone (319) 372-5925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420018 | Medicaid | IA |
Other providers in Fort Madison, IA
- Sara M Garcia
- Amanda Christine Garr
- Kyle Gibson
- Amy Gnann
- Richard Mark Goddard
- Robert J Goodwill
- Tatenda Goronga
- Gregory F Gorski
- Green Anesthesia Iowa PLLC
- Jennifer Griffith
All providers in Fort Madison, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.