NPIMap

Individual provider Active NPI

Dwight L Birkley, PA-C

  • Physician Assistant
  • Sioux City, IA
National Provider Identifier
1932179017
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001137 Issued in IA
Practice address
2730 Pierce St
Suite 204
Sioux City, IA 51104-3796
Phone
(712) 234-8787
Fax
(712) 234-8777
NPI assigned
Jan 23, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001137 IA Primary

Addresses

Primary practice location

2730 Pierce St
Suite 204
Sioux City, IA 51104-3796

Mailing address

2730 Pierce St
Suite 204
Sioux City, IA 51104-3796
Phone (712) 234-8787

Other identifiers 3

IdentifierTypeStateIssuer
28651OtherIAWELLMARK BCBS IOWA
P00388037OtherMEDICARE RAILROAD
10375OtherMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000395 IA Practitioner - Physician Assistant 0244230837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
St Lukes Health Resources Past Accepting new patients
St Lukes Health Resources Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbirkley128151@direct.unitypoint.org

Organizations & group practices 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1932179017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 204",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-234-8787",
            "fax_number": "712-234-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 204",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-234-8787",
            "fax_number": "712-234-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKLEY",
        "first_name": "DWIGHT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS IOWA",
            "identifier": "28651",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00388037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "10375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.