Individual provider Active NPI

Mark D Hartman, DPM

  • Podiatrist
  • Fort Dodge, IA
National Provider Identifier
1801868252
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00587 Issued in IA
Practice address
804 Kenyon Rd
Fort Dodge, IA 50501-5742
Phone
(515) 574-6880
NPI assigned
Feb 1, 2006
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00587 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Mailing address

24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000854 IA Practitioner - Podiatry 8426192691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Foot and Ankle Center PCGroup PAC ID 9830442870, 3 clinicians

Practice addresses (Care Compare)

1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-4200

804 Kenyon Rd
Suite 310
Fort Dodge, IA 50501-5746
Phone (515) 302-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
90
Promoting interoperability
84
Improvement activities
40
Cost
71.97

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
90.6
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue898
Removal or shaving of skin growth153
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00587IAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Midwest Foot and Ankle Center PC Podiatrist CurrentSince Dec 3, 2018 Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

804 Kenyon Rd
Ste 310
Fort Dodge, IA 50501
Phone (515) 302-8700

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18617/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.hartman.1@18617.direct.athenahealth.com
  • Direct secure messaging: mhartman1866@direct.unitypoint.org

Organizations & group practices 4

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 3

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": "1482364800000",
    "number": "1801868252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013909",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.