Individual provider Active NPI

Donald E Odens, M.D.

  • Family Medicine Physician
  • Le Mars, IA
National Provider Identifier
1801150396
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41946 Issued in IA
Practice address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone
(712) 546-3685
Fax
(712) 546-3619
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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 41946 IA Primary

Addresses

Primary practice location

714 Lincoln St NE
Le Mars, IA 51031-3314

Mailing address

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3685

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
I20140807002255 IA Practitioner - Family Practice 2567689946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

15 E 2ND St
Remsen, IA 51050-1125
Phone (712) 546-8113

714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3338

Hospital & facility affiliations

  • Floyd Valley Hospital Community Health Services Home health agency, Le Mars, IA, CCN 167105
  • St Croix Hospice Hospice, Spirit Lake, IA, CCN 161607
  • Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Good Samaritan - Lemars Nursing home, Le Mars, IA, CCN 165205
  • Happy Siesta Health Care Center Nursing home, Remsen, IA, CCN 165405
  • Accura Healthcare of Le Mars Nursing home, Le Mars, IA, CCN 165311
  • Heartland Care Center Nursing home, Marcus, IA, CCN 165397

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41946IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Valley Healthcare Current Accepting new patients
Floyd Valley Healthcare Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Floyd Valley Healthcare Current Accepting new patients
Medical Associates P.C. Family Medicine Current Accepting new patients
Floyd Valley Healthcare CurrentSince Jul 1, 2015 Accepting new patients

Locations

714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338

423 Roosevelt St
Remsen, IA 51050
Phone (712) 786-1117

Interoperability endpoints

  • Direct secure messaging: donald.odens@avera.sdhealthlink.net

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 and National Provider Directory roles.

Hospital & facility affiliations 31

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1801150396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3685",
            "fax_number": "712-546-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3685",
            "fax_number": "712-546-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODENS",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "41946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.