Individual provider Active NPI

Jeffrey Hartung, D.O.

  • Emergency Medicine Physician
  • Pella, IA
National Provider Identifier
1902884976
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03121 Issued in IA
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

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6158402MedicaidIA
080164891OtherIARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000061 IA Practitioner - Emergency MedicinePractitioner - Family Practice 8022047067 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
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- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians

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

LicenseStateTypeSpecialty
03121IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Mar 1, 2005 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Belmond Community Hospital Family Medicine CurrentSince Jan 21, 2023 Accepting new patients
Keokuk County Health Center Current Accepting new patients
Broadlawns Medical Center CurrentSince Mar 1, 2005 Accepting new patients
Keokuk County Health Center CurrentSince Dec 15, 2011 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Keokuk County Health Center CurrentSince Dec 15, 2011 Accepting new patients
Broadlawns Medical Center Current Accepting new patients
Belmond Community Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jan 21, 2023 Accepting new patients
Pella Regional Health Center Family Medicine CurrentSince Aug 1, 1999 Accepting new patients
Pella Regional Health Center CurrentSince Aug 1, 1999 Accepting new patients
Decatur County Hospital CurrentSince Jun 2, 2020 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

  • Direct secure messaging: hartung.jeffrey@cynchealthdsm.org
  • FHIR API: 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.

View all 15

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": "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

Verify at the official NPI Registry.