Active NPI
Jeffrey Hartung, D.O.
- Emergency Medicine Physician
- Pella, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 03121
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 628-3832
- Fax
- (641) 628-8894
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03121 | IA | |
| Emergency Medicine Physician | 207P00000X | 03121 | IA | Primary |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-6649
Other practice location 1
403 1st St SE
Belmond, IA 50421-1201
Phone (844) 474-4321
Other practice location 2
1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6158402 | Medicaid | IA | |
| 080164891 | Other | IA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prhc@direct.pellahealth.kobledirect.com | Direct |
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
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Specialty Hospital- Clarion
Practice addresses (Care Compare)
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03121 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Belmond Community Hospital | Family Medicine | Current | Accepting new patients |
| Keokuk County Health Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Keokuk County Health Center | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Keokuk County Health Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Pella Regional Health Center | Family Medicine | Current | Accepting new patients |
| Pella Regional Health Center | Current | Accepting new patients | |
| Decatur County Hospital | Current | Accepting new patients | |
| Clarke County Public Hospital | Emergency Medicine | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340
800 S Fillmore St
Rm D120
Osceola, IA 50213
Phone (641) 342-5000
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720
Interoperability endpoints
- hartung.jeffrey@cynchealthdsm.org
- https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Critical Access Hospital
- Leon, IA
- NPI 1144209255
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- Critical Access Hospital
- Sigourney, IA
- NPI 1376611103
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Rural Health Clinic/Center
- Dallas Center, IA
- NPI 1467850727
-
- Rural Health Clinic/Center
- Sigourney, IA
- NPI 1073898649
-
- Rural Health Clinic/Center
- Hedrick, IA
- NPI 1588492862
-
- Community/Retail Pharmacy
- Prairie City, IA
- NPI 1033787445
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1902884976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-6649",
"fax_number": "641-628-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-3832",
"fax_number": "641-628-8894"
}
],
"practiceLocations": [
{
"address_1": "403 1st St SE",
"address_purpose": "LOCATION",
"city": "Belmond",
"state": "IA",
"postal_code": "504211201",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1316 S Main St",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "IA",
"postal_code": "505252019",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTUNG",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "03121",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "03121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6158402",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080164891",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "prhc@direct.pellahealth.kobledirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "405 Monroe St",
"city": "Pella",
"state": "IA",
"country_code": "US",
"postal_code": "502191189",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.