Individual provider Active NPI

Hannah Thompson, MD

  • Dermatology Physician
  • Coralville, IA
National Provider Identifier
1861060220
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-53500 Issued in IA
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

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324000241 IA Practitioner - Dermatology 9234531047 Reassigns benefits to 1 organization

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
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of skin lesions388
Removal or shaving of skin growth1-10
Skin biopsy122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-12371IAMDDermatology Physician
R-12137IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Iowa, PLC Dermatology CurrentSince Apr 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.