Individual provider Active NPI

David Kent Larson, M.D.

  • Family Medicine Physician
  • Fairfield, IA
National Provider Identifier
1891803508
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26783 Issued in IA
Practice address
2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Phone
(641) 472-4141
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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 26783 IA Primary

Addresses

Primary practice location

2000 South Main Street
Ste C
Fairfield, IA 52556-3739

Mailing address

2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Phone (641) 472-4141

Other identifiers 1

IdentifierTypeStateIssuer
0043570MedicaidIA

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
I20100524000611 IA Practitioner - Family Practice 1052476165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

2000 C S Main St
Fairfield, IA 52556-9572

2000 S Main
Fairfield, IA 52556-9572

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Hospital & facility affiliations

  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
  • Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26783IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Hospital CurrentSince Apr 11, 2016 Accepting new patients
Jefferson County Hospital Current Accepting new patients
Jefferson County Hospital CurrentSince Apr 11, 2016 Accepting new patients
Jefferson County Hospital Past Accepting new patients

Locations

2000 S Main St
Ste C
Fairfield, IA 52556
Phone (641) 472-4141

2000C S Main St
Fairfield, IA 52556
Phone (515) 472-4141

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

Interoperability endpoints

  • Direct secure messaging: dlarson83766@uihcdirect.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 and National Provider Directory roles.

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1891803508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SOUTH MAIN STREET",
            "address_2": "STE C",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563739",
            "telephone_number": "641-472-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SOUTH MAIN STREET",
            "address_2": "STE C",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563739",
            "telephone_number": "641-472-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DAVID",
        "middle_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.