Active NPI
Shehada M Homedan, M.D.
- Orthopaedic Surgery Physician
- Corydon, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 37635
- Practice address
- 417 S East St
Corydon, IA 50060-1860 - Phone
- (641) 872-2260
- Fax
- (641) 872-3643
- NPI assigned
- Aug 8, 2008
- Last updated
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 37635 | IA | Primary |
Addresses
Primary practice location
417 S East St
Corydon, IA 50060-1860
Mailing address
PO Box 305
Corydon, IA 50060-0305
Phone (641) 872-2260
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ringgold County HospitalMonroe County Hospital
Practice addresses (Care Compare)
1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111
109 Broad St
Humeston, IA 50123-7736
Phone (641) 877-6108
417 S E St
Corydon, IA 50060-1860
417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260
504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226
509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145
6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134
6582 165TH St
Albia, IA 52531-8793
Hospital & facility affiliations
- Davis County Hospital
- Wayne County Hospital
- Ringgold County Hospital
- Monroe County Hospital
- Van Buren County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37635 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Hospital | Current | Accepting new patients | |
| Wayne County Hospital | Orthopaedic Surgery | Current | Accepting new patients |
| Monroe County Hospital | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Past | Accepting new patients |
Locations
6580 165th St
Albia, IA 52531
Phone (641) 932-1756
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482
417 S East St
Corydon, IA 50060
Phone (641) 872-2260
417 S East St
Ste 150
Corydon, IA 50060
Phone (641) 872-2111
304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226
Interoperability endpoints
- shomedan4178307@direct.trinity-health.org
Organizations & group practices 15
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.
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
-
- Critical Access Hospital
- Leon, IA
- NPI 1144209255
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
dba Spectrum Emergency Care
- Emergency Care Clinic/Center
- Mount Ayr, IA
- NPI 1700935202
-
- Critical Access Hospital
- Mount Ayr, IA
- NPI 1811046568
-
- Emergency Medicine Physician
- Keosauqua, IA
- NPI 1316063076
-
- Critical Access Hospital
- Keosauqua, IA
- NPI 1508810714
-
- Specialist
- Bloomfield, IA
- NPI 1487740486
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
- Critical Access Hospital
- Mount Ayr, IA
- NPI 1811046568
-
dba Mount Ayr Medical Clinic
- Critical Access Hospital Clinic/Center
- Mount Ayr, IA
- NPI 1992854434
-
- Critical Access Hospital
- Keosauqua, IA
- NPI 1508810714
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1760638852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305",
"city": "CORYDON",
"state": "IA",
"postal_code": "500600305",
"telephone_number": "641-872-2260",
"fax_number": "641-872-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S EAST ST",
"city": "CORYDON",
"state": "IA",
"postal_code": "500601860",
"telephone_number": "641-872-2260",
"fax_number": "641-872-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMEDAN",
"first_name": "SHEHADA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "37635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corydon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.