NPIMap

Individual provider Active NPI

John Birkett, MD

  • Family Medicine Physician
  • Fort Dodge, IA
National Provider Identifier
1780655100
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-20218 Issued in IA
Practice address
119 Avenue O W
Fort Dodge, IA 50501-5634
Phone
(515) 955-9200
Fax
(515) 955-9201
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-20218 IA Primary

Addresses

Primary practice location

119 Avenue O W
Fort Dodge, IA 50501-5634

Mailing address

PO Box 430
Webster City, IA 50595-0430
Phone (515) 955-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbirk@vdmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000823 IA Practitioner - Family Practice 2466360763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Hamilton County Public Hospital 33 clinicians

Practice addresses (Care Compare)

2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-9400

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Fort Dodge, IA, CCN 167149
  • Van Diest Medical Center Hospital, Webster City, IA, CCN 161361
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Public Hospital Current Accepting new patients
Hamilton County Public Hospital Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hamilton County Public Hospital Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Hamilton County Public Hospital Family Medicine Current Accepting new patients
Trimark Physicians Group Inc PastSince Dec 3, 2004 Accepting new patients

Locations

119 Avenue O W
Fort Dodge, IA 50501
Phone (515) 955-9200

Interoperability endpoints

  • Direct secure messaging: jbirk@vdmc.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Van Diest Family Health Clinic of Fort DodgeFort Dodge, IA, CCN 168652 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2020
Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1780655100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-955-9200",
            "fax_number": "515-955-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AVENUE O W",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015634",
            "telephone_number": "515-955-9200",
            "fax_number": "515-955-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKETT",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-20218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbirk@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Family Health Clinic of Fort Dodge",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "119 Avenue O W",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505015634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.