Active NPI
Hannah Thompson, MD
- Dermatology Physician
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD-53500
- Practice address
- 501 12TH Ave Ste 101
Coralville, IA 52241-1774 - Phone
- (319) 337-3177
- Fax
- (319) 341-0024
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R-12371 | IA | |
| Internal Medicine Physician | 207R00000X | R-12137 | IA | |
| Dermatology Physician | 207N00000X | MD-53500 | IA | Primary |
Addresses
Primary practice location
501 12TH Ave Ste 101
Coralville, IA 52241-1774
Mailing address
501 12TH Ave Ste 101
Coralville, IA 52241-1774
Phone (319) 337-3177
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 W May St
Marengo, IA 52301-1261
Phone (319) 363-9936
501 12TH Ave
Suite 101
Coralville, IA 52241-1774
Phone (319) 337-3177
5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 388 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-12371 | IA | MD | Dermatology Physician |
| R-12137 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Iowa, PLC | Dermatology | Current | Accepting new patients |
Locations
5264 Council St NE
Ste 700
Cedar Rapids, IA 52402
Phone (319) 363-9936
501 12th Ave
Ste 101
Coralville, IA 52241
Phone (319) 337-3177
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
Interoperability endpoints
- hannah.thompson@epiphanyderm.emadirect.md
Organizations & group practices 1
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.
-
- Dermatology Physician
- Cedar Rapids, IA
- NPI 1104451749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1861060220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 12TH AVE STE 101",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411774",
"telephone_number": "319-337-3177",
"fax_number": "319-341-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 12TH AVE STE 101",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411774",
"telephone_number": "319-337-3177",
"fax_number": "319-341-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "HANNAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "R-12371",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-12137",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD-53500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.