Shehada M Homedan, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Corydon, IA
NPI 1760638852 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1760638852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 37635 (IA)
- Practice address
- 417 S East St
Corydon, IA 50060-1860 - Phone
- (641) 872-2260
- Fax
- (641) 872-3643
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center-Centerville
Wayne County Hospital
Ringgold County Hospital
Davis County Hospital
Monroe 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 |
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 |
|---|---|---|---|---|
| I20081008000563 | IA | Practitioner - Orthopedic Surgery | 1355419078 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37635 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Buren County Hospital | Current |
Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients | |
| Decatur County Hospital | Current |
Accepting new patients | |
| Wayne County Hospital | Orthopaedic Surgery | Current |
Accepting new patients |
| Van Buren County Hospital | Current |
Accepting new patients | |
| Monroe County Hospital | Current |
Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Ringgold 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 | |
| Wayne County Hospital | Past | Accepting new patients | |
| Wayne County Hospital | Past | 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
Ste 150
Corydon, IA 50060
Phone (641) 872-2111
417 S East St
Corydon, IA 50060
Phone (641) 872-2260
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 37635 | IA | Yes |
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
Other providers in Corydon, IA
- Tiffany Evans
- Marissa Kay Evers
- Noah Jacob Givant
- Patrick S Heffron
- Douglas W Hoch
- Hy-Vee Inc
- Ojiaku Balewa Ikezuagu
- Samantha Imholte
- Infinity Health
- Brandon Lee Jenson
All providers in Corydon, IA · Orthopaedic Surgery 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 Jan 7, 2019. 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.