NPIMap

Individual provider Active NPI

Hannah Irene Dewald, M.D.

  • Obstetrics & Gynecology Physician
  • Sioux City, IA
National Provider Identifier
1790040269
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
43380 Issued in IA
Practice address
2730 Pierce St
Suite 201
Sioux City, IA 51104
Phone
(712) 277-3141
Fax
(712) 277-2645
NPI assigned
Jul 10, 2012
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 43380 IA Primary

Addresses

Primary practice location

2730 Pierce St
Suite 201
Sioux City, IA 51104

Mailing address

2730 Pierce St
Suite 201
Sioux City, IA 51104-3796
Phone (712) 277-3141

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
I20160628000148 IA Practitioner - Obstetrics/Gynecology 8921222407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Obstetrics and Gynecology PCGroup PAC ID 3678463494, 6 clinicians

Practice addresses (Care Compare)

2730 Pierce St
Suite 201
Sioux City, IA 51104-3764
Phone (712) 277-3141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Obstetrics & Gynecology, P.C. Obstetrics & Gynecology CurrentSince Jul 25, 2016 Accepting new patients
Siouxland Community Health Center CurrentSince Jan 30, 2020 Accepting new patients
Avera McKennan PastSince Jul 25, 2016 Accepting new patients
Northwest Iowa Hospital Corporation PastSince Jan 1, 2021 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

2730 Pierce St
Ste 201
Sioux City, IA 51104
Phone (712) 277-3138

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

Interoperability endpoints

  • Direct secure messaging: hdewald51966@direct.sclhealth.com
  • Direct secure messaging: hdewald637022@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
St Luke's Regional Medical CenterSioux City, IA, CCN 160146 Hospital Corporate Director Jan 1, 2021
St Luke's Regional Medical CenterSioux City, IA, CCN 16T146 Hospital Corporate Director Jan 1, 2021
St Luke's Regional Medical Center SNFSioux City, IA, CCN 165620 Skilled nursing facility Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1790040269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-277-3141",
            "fax_number": "712-277-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51104",
            "telephone_number": "712-277-3141",
            "fax_number": "712-277-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "HANNAH",
        "middle_name": "IRENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "43380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.