Individual provider Active NPI

Shehada M Homedan, M.D.

  • Orthopaedic Surgery Physician
  • Corydon, IA
National Provider Identifier
1760638852
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
37635 Issued in IA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000563 IA Practitioner - Orthopedic Surgery 1355419078 Reassigns benefits to 12 organizations

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
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, 37 clinicians
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians
Ringgold County HospitalGroup PAC ID 7315849973, shared by 4 NPIs, 32 clinicians
Davis County HospitalGroup PAC ID 3971493040, 14 clinicians
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement17
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 reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37635IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Hospital CurrentSince Nov 1, 2021 Accepting new patients
Wayne County Hospital Orthopaedic Surgery CurrentSince Sep 23, 2020 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Van Buren County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ringgold County Hospital Current Accepting new patients
Monroe County Hospital CurrentSince Dec 1, 2020 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

  • Direct secure messaging: 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.

View all 15

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": "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

Verify at the official NPI Registry.