Matthew Leo Woodham, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO-04473 Issued in IA

Practice address

404 Jefferson St
Pella, IA 50219-1257

Phone

(641) 628-3150

Fax

(641) 628-8901

NPI assigned

Feb 15, 2009

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, IA2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwoodham850343@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242

  FL, Internal Medicine

  Medicare reassignment NPD
• The Finley Hospital

  dba UnityPoint Health - Provider Services

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308

  FL

  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755

  FL

  Medicare reassignment NPD
• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497
  Medicare reassignment
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Methodist Medical Center of Illinois

  dba Methodist Medical Group

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1184670663

  Internal Medicine

  NPD
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic-Family Medicine-Shellsburg

  • Family Medicine Physician
  • Shellsburg, IA
  • NPI 1851839153
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1760621791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JEFFERSON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191257",
            "telephone_number": "641-628-3150",
            "fax_number": "641-628-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JEFFERSON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191257",
            "telephone_number": "641-628-3150",
            "fax_number": "641-628-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHAM",
        "first_name": "MATTHEW",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "4473",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "DO-04473",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-04473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1760621791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "DO04473",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whole Family Wellness, LLC
• Amber Williams, OTD, OTR/L
• Sarah Beth Willoughby, PHARM.D.
• Libby Ann Wilson
• Craig A. Wittenberg, MD
• Work Systems Rehab, PC (Kinetic Edge Physical Therapy)
• Mylah Zaldivar
• Ava Renata Zihlman, M.S., T-LMHC
• Jenna Kay Zoss, PA-C
• Brandon Nicolas Zumbach

• Internal Medicine Physician in Pella, IA
• Providers in Pella, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.